Individual
MR. JOHN THOMAS ELLIOTT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C, MPAS
Contact information
Practice address
ROBINSON HEALTH CLINIC, BLDG. C-3031 GRUBER RD, FORT BRAGG, NC 28310-0001
(910) 907-9396
(910) 907-9360
Mailing address
5644 MIDDLEFIELD PL, FAYETTEVILLE, NC 28304-9702
(910) 988-8359
(910) 907-9360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103835
NC
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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