Individual
SAMUEL ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 WINFIELD DUNN PKWY, SEVIERVILLE, TN 37876-5509
(423) 715-4168
Mailing address
7813 SENATE LN, KNOXVILLE, TN 37931-4528
(423) 715-4168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5887
TN
Other
Enumeration date
01/29/2024
Last updated
02/11/2024
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