Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 710 | SC |
NPI | 1184874497 |
---|---|
Provider Name | Patrick C Patterson |
First Address | Florence, SC 29501-4138 |
Second Address | Florence, SC 29501-4138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2008 |
Last Update Date | 19/06/2020 |