person
Mr. Alexander Gary Patton, PA-C
Medical Physician Assistant in South Boston, Virginia
NPI 1548932270

Alexander Gary Patton is a Medical Physician Assistant based in South Boston, VA and is specialized in Medical. Alexander Gary Patton practices in South Boston, VA and has the professional credentials of PA-C. The NPI Number for Alexander Gary Patton is 1548932270 and holds a License No. 0110008352 (Virginia).

The current practice location address for Alexander Gary Patton is 2210 Wilborn Ave, South Boston, VA and can be reached out via phone at 434-575-5864.

Location: 2210 Wilborn Ave, South Boston, VA, 24592-1630
person
Provider Profile Details
NPI Number
1548932270
Provider Name
Alexander Gary Patton
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2210 Wilborn Ave, South Boston, VA, 24592-1630
Phone Number
434-575-5864
Fax Number
Provider Enumeration Date
09/30/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0110-008352 01 VA PHYSICIAN ASSISTANT LICENSE
1190095 01 NCCPA CERTIFICATION
institution
Provider Business Practice Location Address Details
Address
2210 Wilborn Ave
City
State
Zip
24592-1630
Phone Number
434-575-5864
Fax Number
person
Provider Business Mailing Address Details
Address
2210 Wilborn Ave
City
State
Zip
24592-1630
Phone Number
434-575-5864
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110008352 (Virginia)
Definition
Definition to come...
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