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Organization

ELK RIVER PHYSICIANS GROUP, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANE BOYLE (CEO)
(931) 968-6405
Entity
Organization

Contact information

Practice address
155 HOSPITAL RD, SUITE D, WINCHESTER, TN 37398-2494
(931) 967-8055
Mailing address
48 SUNRISE PARK, WINCHESTER, TN 37398-2345
(931) 968-6405

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD0000011440
TN
207R00000X
Internal Medicine Physician
MD0000030284
TN
207V00000X
Obstetrics & Gynecology Physician
MD0000026408
TN
207X00000X
Orthopaedic Surgery Physician
DO0000001192
TN
207Y00000X
Otolaryngology Physician
MD0000037655
TN
208000000X
Pediatrics Physician
MD0000020791
TN
208600000X
Surgery Physician
MD0000011992
TN
208800000X
Urology Physician
MD0000037542
TN
213E00000X
Podiatrist
Primary
DPM0000000591
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3733051
TN
Enumeration date
06/11/2006
Last updated
09/11/2025
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