Individual
ELIZABETH WHEELER OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
(901) 922-6758
Mailing address
11047 SHADY LN, EADS, TN 38028-9804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2678
TN
Other
Enumeration date
12/30/2014
Last updated
02/02/2017
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