Provider Demographics
NPI:1699051391
Name:PATTON, ERIC
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:PATTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6815 NOLENSVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-8800
Mailing Address - Country:US
Mailing Address - Phone:615-941-7239
Mailing Address - Fax:615-941-7240
Practice Address - Street 1:6815 NOLENSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-8800
Practice Address - Country:US
Practice Address - Phone:615-941-7239
Practice Address - Fax:615-941-7240
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000029634183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist