Provider Demographics
NPI:1740960657
Name:ELKTON CLINIC PC
Entity type:Organization
Organization Name:ELKTON CLINIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-468-2102
Mailing Address - Street 1:1446 BRYSON RD
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:TN
Mailing Address - Zip Code:38449-5228
Mailing Address - Country:US
Mailing Address - Phone:931-468-2102
Mailing Address - Fax:931-468-2103
Practice Address - Street 1:1446 BRYSON RD
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:TN
Practice Address - Zip Code:38449-5228
Practice Address - Country:US
Practice Address - Phone:931-468-2102
Practice Address - Fax:931-468-2103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty