Individual
DR. EDWIN MCELROY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 W STONE DR, SUITE 300, KINGSPORT, TN 37660-6027
(423) 224-3150
(423) 224-3169
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0101226835
VA
207RH0003X
Hematology & Oncology Physician
Primary
34245
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005845947
—
VA
05
—
3851706
—
TN
Enumeration date
03/01/2006
Last updated
07/27/2012
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