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Individual

DR. ELIE MANSOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
919 E CENTRAL AVE, SUITE 103, LA FOLLETTE, TN 37766-2777
(423) 562-4976
(423) 566-5896
Mailing address
919 E CENTRAL AVE, SUITE 103, LA FOLLETTE, TN 37766-2777
(423) 562-4976
(423) 566-5896

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD21870
TN

Other

Enumeration date
06/22/2006
Last updated
11/09/2007
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