Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 0101255806 | VA |
N | 207RC0000X | Internist - Cardiovascular Disease | 204537 | LA |
N | 207RC0000X | Internist - Cardiovascular Disease | 51356 | SD |
N | 207RI0011X | Interventional Cardiology | 0101255806 | VA |
N | 207RI0011X | Interventional Cardiology | 51356 | TN |
NPI | 1073573226 |
---|---|
Provider Name | John Byron Patterson |
First Address | Abingdon, VA 24211-7664 |
Second Address | Abingdon, VA 24211-7664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1073573226 | (05) | VA |
2152157 | (05) | LA |
Q010049 | (05) | TN |