Individual
ELLIOTT MAKARY KANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
930 MADISON AVE STE 200, MEMPHIS, TN 38103
(901) 448-6650
Mailing address
1068 CRESTHAVEN RD STE 300, MEMPHIS, TN 38119-0809
(901) 866-8864
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
41528
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003179565A
—
GA
05
—
01570301
—
MS
05
—
1477636033
—
MO
05
—
162929001
—
AR
05
—
180617
—
AL
05
—
3827927
—
TN
Enumeration date
10/24/2006
Last updated
02/21/2025
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