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Patchouco Theodore, MD
Student in an Organized Health Care Education/Training Program in Knoxville, Tennessee
NPI 1528628963

Patchouco Theodore is a Student in an Organized Health Care Education/Training Program based in Cutler Bay, TN. Patchouco Theodore practices in Knoxville, TN and has the professional credentials of MD. The NPI Number for Patchouco Theodore is 1528628963 and holds a License No. 66626 (Tennessee).

The current practice location address for Patchouco Theodore is 1924 Alcoa Hwy # U-67, Knoxville, TN and can be reached out via phone at 865-305-9350 and via fax at 865-305-8942.

Location: 1924 Alcoa Hwy # U-67, Knoxville, TN, 33190-1003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528628963
Provider Name
Patchouco Theodore
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1924 Alcoa Hwy # U-67, Knoxville, TN, 33190-1003
Phone Number
865-305-9350
Fax Number
865-305-8942
Provider Enumeration Date
06/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1924 Alcoa Hwy # U-67
City
Knoxville
State
Tennessee
Zip
37920-1511
Phone Number
865-305-9350
Fax Number
865-305-8942
person
Provider Business Mailing Address Details
Address
1924 Alcoa Hwy # U-67
City
Knoxville
State
Tennessee
Zip
37920-1511
Phone Number
865-305-9350
Fax Number
865-305-8942
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
()
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
66626 (Tennessee)
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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