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ELIE MANSOUR MD PC NPI 1366483299


NPI Information

NPI: 1366483299
Provider Name: ELIE MANSOUR, MD, PC
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
919 E CENTRAL AVE
SUITE 103
LA FOLLETTE, TN
ZIP 37766
Phone: (423) 562-4976
Get Directions

ELIE MANSOUR, MD, PC is a pulmonary disease internal medicine in La Follette, TN. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. ELIE MANSOUR, MD, PC NPI is 1366483299. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

919 E CENTRAL AVE
SUITE 103
LA FOLLETTE, TN
ZIP 37766-777
Phone: (423) 562-4976
Fax: (423) 566-5896

The provider's authorized official is Elie Mansour .
The authorized official title is Owner and has the following contact phone number (423) 562-4976.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 11/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseMD21870TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13729357MEDICARE PINTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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