Individual
ELIZABETH BRITTIAN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6516 KINGSTON PIKE, KNOXVILLE, TN 37919-4825
(865) 450-9361
(865) 450-9362
Mailing address
DEPT 888213, KNOXVILLE, TN 37995-0001
(865) 670-6199
(865) 670-6188
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
39757
TN
207ND0900X
Dermatopathology Physician
39757
TN
207NS0135X
Procedural Dermatology Physician
39757
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33313421
—
TN
01
—
64109978
KY MEDICAID
KY
Enumeration date
02/28/2006
Last updated
02/28/2017
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