Individual
PAYGE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
302 WESLEY ST, JOHNSON CITY, TN 37601-1740
(423) 282-0561
Mailing address
601 SUNSET DR, JOHNSON CITY, TN 37604-3029
(423) 426-3159
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
0000219785
TN
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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