Dr Kenneth W Patric Jr, MD | |
403 Mcbrien Rd, East Ridge, TN 37412-3223 | |
(423) 875-0700 | |
Not Available |
Full Name | Dr Kenneth W Patric Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 403 Mcbrien Rd, East Ridge, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366480014 | NPI | - | NPPES |
69243 | Other | GA | GEORGIA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 69243 (Georgia) | Secondary |
207Q00000X | Family Medicine | MD0000027485 (Tennessee) | Primary |
Entity Name | Physicians Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437194222 PECOS PAC ID: 8426962135 Enrollment ID: O20040109000360 |
Entity Name | The Little Clinic Of Tennessee Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487848800 PECOS PAC ID: 4688762800 Enrollment ID: O20080326000339 |
Entity Name | Crossroads Urgent Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366644361 PECOS PAC ID: 8325117484 Enrollment ID: O20080515000672 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth W Patric Jr, MD 2485 Baskette Way, Chattanooga, TN 37421-7615 Ph: (423) 240-4829 | Dr Kenneth W Patric Jr, MD 403 Mcbrien Rd, East Ridge, TN 37412-3223 Ph: (423) 875-0700 |
Dr. Randy Robert Heisser, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971 | |
Dr. Bruce Allen Pendley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1508 Tombras Ave, East Ridge, TN 37412 Phone: 423-867-4969 Fax: 423-867-4971 |