Doctor Name: | SUZANNE E PATTON |
NPI Number: | 1902801228 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD, PHD |
License Number: | 051709 |
Business Practice Address: | 349 Island Rd Bristol, VA - 242017009 |
Business Phone Number: | 2764694200 |
Business Fax Number: | 2764694249 |
Mailing Address: | 349 Island Rd, BRISTOL |
State: | VA |
Postal Code: | 242017009 |
Phone Number: | 2764694200 |
Fax Number: | 2764694249 |
NPI Enumeration Date: | 06/14/2005 |
NPI Last Update Date: | 02/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 051709 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |