Individual
ELIZABETH ANN BAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2000 GLEN ECHO RD STE 111, NASHVILLE, TN 37215-2857
(615) 657-4805
Mailing address
PO BOX 936535, ATLANTA, GA 31193-6535
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2601
TN
363AM0700X
Medical Physician Assistant
2601
TN
363AS0400X
Surgical Physician Assistant
Primary
2601
TN
Other
Enumeration date
11/18/2009
Last updated
04/20/2023
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