Individual
STANTON ELSEROAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 N WINSTON RD, 300, KNOXVILLE, TN 37919-3606
(865) 539-8000
Mailing address
1900 N WINSTON RD, 300, KNOXVILLE, TN 37919-3606
(865) 539-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
53053
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2013
Last updated
06/24/2016
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