Individual
ELIZABETH CAROLYN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5339 ELVIS PRESLEY BLVD, MEMPHIS, TN 38116-8243
(901) 271-9500
(901) 271-9501
Mailing address
4528 DEE RD, MEMPHIS, TN 38117-5408
(205) 999-9485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48574
TN
208000000X
Pediatrics Physician
48574
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528265
—
TN
Enumeration date
04/14/2008
Last updated
03/22/2024
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