PATRICK DAVID SOUTH

KINGSPORT, TN
NPI1417693284
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-05-05
Last Update Date2022-05-05
Business Address
PATRICK DAVID SOUTH MD
102 E RAVINE RD
KINGSPORT, TN 37660-3814
Phone number: 423-245-9600
Mailing Address
PATRICK DAVID SOUTH MD
102 E RAVINE RD
KINGSPORT, TN 37660-3814
Phone number: 423-245-9600