Provider Demographics
NPI:1790832582
Name:PATTON, THOMAS H (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:H
Last Name:PATTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:100 RICE MINE ROAD LOOP,
Mailing Address - Street 2:STE 301
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-2417
Mailing Address - Country:US
Mailing Address - Phone:205-345-3881
Mailing Address - Fax:205-345-7242
Practice Address - Street 1:100 RICE MINE ROAD LOOP,
Practice Address - Street 2:STE 301
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2417
Practice Address - Country:US
Practice Address - Phone:205-345-3881
Practice Address - Fax:205-345-7242
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL295072084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102I134179Medicare PIN