Individual
BRIAN KEITH ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-5800
Mailing address
PO BOX 11724, KNOXVILLE, TN 37939-1724
(423) 797-1072
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1749
TN
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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