Provider Demographics
NPI:1558355198
Name:PATTERSON, JAMES B (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:B
Last Name:PATTERSON
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1638 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-3518
Mailing Address - Country:US
Mailing Address - Phone:336-226-8000
Mailing Address - Fax:336-228-7585
Practice Address - Street 1:1638 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-3518
Practice Address - Country:US
Practice Address - Phone:336-226-8000
Practice Address - Fax:336-228-7585
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00-21365174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8966120Medicaid
NC8966120Medicaid
NC209456AMedicare PIN