Provider Demographics
NPI:1801801378
Name:PERKETT, ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:PERKETT
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:11215 DOT VANDERBILT CHILDRENS
Mailing Address - Street 2:2200 CHILDRENS WAY
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-0001
Mailing Address - Country:US
Mailing Address - Phone:615-343-7617
Mailing Address - Fax:615-343-7729
Practice Address - Street 1:11215 DOT VANDERBILT CHILDRENS
Practice Address - Street 2:2200 CHILDRENS WAY
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-0001
Practice Address - Country:US
Practice Address - Phone:615-343-7617
Practice Address - Fax:615-343-7729
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2010-05-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM99-2792080P0214X
TN00000088252080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology