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Individual

DR. JAMES KEITH ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
5908 HIGHWAY 11 E, PINEY FLATS, TN 37686-4743
(423) 538-4397
(423) 926-9921
Mailing address
115 BEECHNUT ST, E 9, JOHNSON CITY, TN 37601-1542
(423) 282-5196

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5296
TN

Other

Enumeration date
02/22/2007
Last updated
07/08/2007
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