Individual
DR. ELIZABETH LONDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
31 HUGHES DRIVE, JACKSON, TN 38305
(731) 668-2800
Mailing address
31 HUGHES DRIVE, JACKSON, TN 38305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD35614
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000019512
TLC
TN
01
—
080174482
RAILROAD MEDICARE
TN
05
—
3866546
—
TN
01
—
4015060
BCBS
TN
01
—
5647139
AETNA
TN
Enumeration date
10/05/2006
Last updated
05/12/2014
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