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1093577785
SAMUEL ELLIOTT
SEVIERVILLE, TN
NPI
1093577785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 5887)
Enumeration Date
2024-01-29
Last Update Date
2024-02-11
Business Address
SAMUEL ELLIOTT
502 WINFIELD DUNN PKWY
SEVIERVILLE, TN 37876-5509
Phone number: 423-715-4168
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Mailing Address
SAMUEL ELLIOTT
7813 SENATE LN
KNOXVILLE, TN 37931-4528
Phone number: 423-715-4168
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