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1417693284
PATRICK DAVID SOUTH
KINGSPORT, TN
NPI
1417693284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-05
Last Update Date
2022-05-05
Business Address
PATRICK DAVID SOUTH MD
102 E RAVINE RD
KINGSPORT, TN 37660-3814
Phone number: 423-245-9600
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Mailing Address
PATRICK DAVID SOUTH MD
102 E RAVINE RD
KINGSPORT, TN 37660-3814
Phone number: 423-245-9600
Copy
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