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NPI Verification

National Provider Identifier: 1184102881

A Pattern Medical Clinic

Organization

Primary Specialty

Clinic/Center, Multi-Specialty

Code: 261QM1300X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Clinic/Center, Multi-Specialty

Code: 261QM1300X

Primary

Practice Address

5545 LITTLE DEBBIE PKWY

OOLTEWAH, TN 373634357

Phone: 423-455-2711

NPI Enumeration Date

August 3, 2018

NPI Number

1184102881

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry