Individual
ELIJAH G CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
923 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1200
(865) 291-3228
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
007404
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006049
BCBS
TN
05
—
3161415
—
TN
Enumeration date
05/24/2006
Last updated
02/06/2012
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