Individual
ELLIOTT TAYLOR CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7237
Mailing address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7237
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3277611
MS
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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