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Patrick David South, MD
Student in an Organized Health Care Education/Training Program in Kingsport, Tennessee
NPI 1417693284

Patrick David South is a Student in an Organized Health Care Education/Training Program based in Kingsport, TN. Patrick David South practices in Kingsport, TN and has the professional credentials of MD. The NPI Number for Patrick David South is 1417693284 and holds a License No. (Tennessee).

The current practice location address for Patrick David South is 102 E Ravine Rd, Kingsport, TN and can be reached out via phone at 423-245-9600 and via fax at 423-245-9634.

Location: 102 E Ravine Rd, Kingsport, TN, 37660-3814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417693284
Provider Name
Patrick David South
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
102 E Ravine Rd, Kingsport, TN, 37660-3814
Phone Number
423-245-9600
Fax Number
423-245-9634
Provider Enumeration Date
05/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 E Ravine Rd
City
Kingsport
State
Tennessee
Zip
37660-3814
Phone Number
423-245-9600
Fax Number
423-245-9634
person
Provider Business Mailing Address Details
Address
102 E Ravine Rd
City
Kingsport
State
Tennessee
Zip
37660-3814
Phone Number
423-245-9600
Fax Number
423-245-9634
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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