Individual
JAMES G ELLIOTT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12713 LAKE WILDERNESS LN, SPOTSYLVANIA, VA 22551-8122
(540) 972-0997
Mailing address
12713 LAKE WILDERNESS LN, SPOTSYLVANIA, VA 22551-8122
(540) 972-0997
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
27050720900
VA
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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