Individual
DR. ELIZABETH ANN NULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1222 TROTWOOD AVE, SUITE 101, COLUMBIA, TN 38401-6436
(931) 490-7348
(931) 490-7349
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303, COLUMBIA, TN 38401-4659
(931) 490-7348
(931) 490-7349
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
45671
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710089
—
TN
Enumeration date
02/28/2007
Last updated
01/11/2017
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