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Organization

DEANNA ELSEA, M.D.

Active
Other names
SOMERVILLE MEDICAL CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
DEANNA S ELSEA INTERNAL MEDICINE (OWNER)
(901) 465-5466
Entity
Organization

Contact information

Practice address
213 LAKEVIEW RD, 213 LAKEVIEW RD, SOMERVILLE, TN 38068-9744
(901) 465-5466
(901) 465-9048
Mailing address
213 LAKEVIEW RD, 213 LAKEVIEW RD, SOMERVILLE, TN 38068-9744
(901) 465-5466
(901) 465-9048

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD0000031550
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3733134
TN
Enumeration date
10/04/2006
Last updated
03/18/2008
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