Thomas Lee Ely D.O.

NPI 1083601827 - Family Medicine - 207Q00000X

NPI Details
NPI 1083601827
Gender Male
Enumeration Date 10/05/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1771 MADISON ST
CLARKSVILLE TN, 37043-4990, US
Phone (931) 221-2278
Fax (931) 551-1027
Business Location
2879 CARRIAGE WAY
CLARKSVILLE TN, 37043-2853, US
Phone (931) 358-4981
Fax (931) 551-1027
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number DO 652
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According to our database, Dr. Thomas Lee Ely D.O. NPI is 1083601827, taxonomy code is 207Q00000X and license number is DO 652, license state is located at Tennessee. Thomas Lee Ely D.O. physically located at 1771 Madison St, Clarksville TN, 37043-4990. NPI Number Thomas Lee Ely D.O. has the Individual type.

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1083601827 NPI number is provided on an as is basis without warranty of any kind. 1083601827 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Lee Ely D.O. are for informational purposes only.