| Doctor Name: | DR. JOHN W PATRICK |
| NPI Number: | 1124023023 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 011438 |
| Business Practice Address: | 801 W Gordon St Thomaston, GA - 302863426 |
| Business Phone Number: | 7066478111 |
| Business Fax Number: | 7066474389 |
| Mailing Address: | Po Box 589, THOMASTON |
| State: | GA |
| Postal Code: | 302860008 |
| Phone Number: | 7066478111 |
| Fax Number: | 7066474389 |
| NPI Enumeration Date: | 06/16/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 011438 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |