NPI | 1003575838 |
---|---|
Former Legal Business Name | ELITE PATIENT CARE OF TENNESSEE PLLC |
Entity Type | Organization |
Authorized Contact | NICOLE HOWARD Sr VP Of Administrative Services 337-408-0797 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2021-12-09 |
Last Update Date | 2025-02-11 |