Elie Mansour, Md, Pc

NPI 1366483299 - Internal Medicine - 207RP1001X

NPI Details
NPI 1366483299
Enumeration Date 06/10/2006
Last Updated 11/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ELIE ELIE
Position OWNER
Phone (423) 562-4976
Fax (423) 566-5896
Practice Location
919 E CENTRAL AVE
SUITE 103
LA FOLLETTE TN, 37766-2777, US
Phone (423) 562-4976
Fax (423) 566-5896
Business Location
919 E CENTRAL AVE
SUITE 103
LA FOLLETTE TN, 37766-2777, US
Phone (423) 562-4976
Fax (423) 566-5896
Toxanomy
Taxonomy Code 207RP1001X
License State Tennessee
License Number MD21870
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According to our database, Elie Mansour, Md, Pc NPI is 1366483299, taxonomy code is 207RP1001X and license number is MD21870, license state is located at Tennessee. Elie Mansour, Md, Pc physically located at 919 E Central Ave, La Follette TN, 37766-2777. NPI Number 1033115704 has the healthcare provider type.

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1366483299 NPI number is provided on an as is basis without warranty of any kind. 1366483299 is maintained by the National Plan & Provider Enumeration System. The contents of Elie Mansour, Md, Pc are for informational purposes only.