Individual
ELLIOTT LANDFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 BISHOP ST, UNION CITY, TN 38261-5403
(731) 885-2410
(865) 291-3228
Mailing address
924 SIMPSON RD, DYERSBURG, TN 38024-7155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
032231
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3858602
—
TN
01
—
4101926
BCBS
TN
05
—
64106917
—
KY
Enumeration date
05/24/2006
Last updated
07/08/2007
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