Charles Mccarley Elliott MD

NPI 1063482404 - Family Medicine - 207Q00000X

NPI Details
NPI 1063482404
Gender Male
Enumeration Date 01/26/2006
Last Updated 02/21/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1009 CITY AVE N
SUITE A
RIPLEY MS, 38663-1414, US
Phone (662) 837-1404
Fax (662) 837-3760
Business Location
1009 CITY AVE N
SUITE A
RIPLEY MS, 38663-1414, US
Phone (662) 837-1404
Fax (662) 837-3760
Toxanomy
Taxonomy Code 207Q00000X
License State Mississippi
License Number 05601
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According to our database, Charles Mccarley Elliott MD NPI is 1063482404, taxonomy code is 207Q00000X and license number is 05601, license state is located at Mississippi. Charles Mccarley Elliott MD physically located at 1009 City Ave N, Ripley MS, 38663-1414. NPI Number Charles Mccarley Elliott MD has the Individual type.

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1063482404 NPI number is provided on an as is basis without warranty of any kind. 1063482404 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Mccarley Elliott MD are for informational purposes only.