Individual
SAMANTHA ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
608 ELDER HOLLOW RD, DECATUR, TN 37322-7219
(142) 332-2234
Mailing address
608 ELDER HOLLOW RD, DECATUR, TN 37322-7219
(142) 332-2234
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
85724
TN
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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