| The Patton Practice | |
|
1108 Grecade St Suite 203 Greensboro NC 27408-8729 | |
| (336) 663-8802 | |
| (336) 663-8805 |
| Full Name | The Patton Practice |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1108 Grecade St, Greensboro, North Carolina |
| Authorized Official Name and Position | Theresa Ann Kennedy Patton (OWNER) |
| Authorized Official Contact | 3366638802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Patton Practice 1108 Grecade St Suite 203 Greensboro NC 27408-8729 Ph: (336) 663-8802 | The Patton Practice 1108 Grecade St Suite 203 Greensboro NC 27408-8729 Ph: (336) 663-8802 |
| NPI Number | 1285019240 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 07/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285019240 | NPI | - | NPPES |
| 1114210721 | Other | NC | BLUE CROSS BLUE SHIELD NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1804 (North Carolina) | Primary |
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