Individual
DR. LEE CLAYTON ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9617
(828) 270-7186
(866) 502-1008
Mailing address
PO BOX 488, CONOVER, NC 28613-0488
(828) 270-7186
(866) 502-1008
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200020
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1478733
—
LA
01
—
P00226530
MEDICARE RAILROAD
LA
Enumeration date
10/04/2005
Last updated
02/23/2024
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