NPI 1184102881
A Pattern Medical Clinic
Practice location
- Address
- 5545 Little Debbie Pkwy, Ooltewah, TN 37363-4357
- Phone
- (423) 455-2711
- Fax
- (423) 465-4589
Authorised official
- Name
- Annex Luberisse
- Title
- Director of Operations
- Phone
- (660) 229-0858
Registered specialties (2)
Multi-Specialty Clinic/Center
Primary
Family Medicine Physician
Registry record
- NPI
- 1184102881
- Entity type
- Organization
- NPI issued
- 3 Aug 2018
- Record last updated
- 6 Sep 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.