Individual
ELIZABETH ANNE DEFLUITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1497 W ELK AVE, SUITE 10, ELIZABETHTON, TN 37643-2895
(423) 542-7440
(423) 542-7445
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD40285
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255363347
—
VA
01
—
P00978836
RAILROAD MEDICARE
TN
05
—
Q003381
—
TN
Enumeration date
07/07/2006
Last updated
08/16/2024
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