Patrick D. Shorter

NPI 1013047166 - Optometrist - 152W00000X

NPI Details
NPI 1013047166
Enumeration Date 03/07/2007
Last Updated 03/06/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PATRICK PATRICK
Position OWNER
Phone (423) 753-7760
Fax (423) 753-7466
Practice Location
805 E JACKSON BLVD
JONESBOROUGH TN, 37659-1540, US
Phone (423) 753-7760
Fax (423) 753-7466
Business Location
805 E JACKSON BLVD
JONESBOROUGH TN, 37659-1540, US
Phone (423) 753-7760
Fax (423) 753-7466
Toxanomy
Taxonomy Code 152W00000X
License State Tennessee
License Number TN2533
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According to our database, Patrick D. Shorter NPI is 1013047166, taxonomy code is 152W00000X and license number is TN2533, license state is located at Tennessee. Patrick D. Shorter physically located at 805 E Jackson Blvd, Jonesborough TN, 37659-1540. NPI Number 1033115704 has the healthcare provider type.

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1013047166 NPI number is provided on an as is basis without warranty of any kind. 1013047166 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick D. Shorter are for informational purposes only.