Provider Demographics
NPI:1902095383
Name:PATTERSON, CAYCE MCCALL
Entity Type:Individual
Prefix:
First Name:CAYCE
Middle Name:MCCALL
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4141 BABSON RD NW
Mailing Address - Street 2:
Mailing Address - City:ASH
Mailing Address - State:NC
Mailing Address - Zip Code:28420-3833
Mailing Address - Country:US
Mailing Address - Phone:910-754-6104
Mailing Address - Fax:910-287-5123
Practice Address - Street 1:35 REFERENDUM DR
Practice Address - Street 2:BRUNSWICK COUNTY SCHOOLS
Practice Address - City:BOLIVIA
Practice Address - State:NC
Practice Address - Zip Code:28422
Practice Address - Country:US
Practice Address - Phone:910-754-6104
Practice Address - Fax:910-754-3112
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7656225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist