Dr Ellen Pigott Soufleris, | |
1039 Executive Dr Ste 101, Hixson, TN 37343-7900 | |
(423) 874-0125 | |
(423) 874-0154 |
Full Name | Dr Ellen Pigott Soufleris |
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Gender | Female |
Speciality | Pediatrics |
Location | 1039 Executive Dr Ste 101, Hixson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750736492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 58194 (Tennessee) | Primary |
Entity Name | The Moses H Cone Memorial Hospital Operating Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356372064 PECOS PAC ID: 6204744600 Enrollment ID: O20031124000541 |
Mailing Address | Practice Location Address |
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Dr Ellen Pigott Soufleris, 4976 Alpha Ln, Hixson, TN 37343-5470 Ph: (423) 497-5355 | Dr Ellen Pigott Soufleris, 1039 Executive Dr Ste 101, Hixson, TN 37343-7900 Ph: (423) 874-0125 |
Emily Kate Cornelius Sanders, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4519 Hixson Pike, Hixson, TN 37343 Phone: 423-877-4591 | |
Dr. David Neall, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4519 Hixson Pike, Hixson, TN 37343 Phone: 423-877-4591 Fax: 423-877-4225 | |
Laura T Truelove, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1039 Executive Dr Ste 101, Hixson, TN 37343 Phone: 423-874-0125 Fax: 423-874-0154 | |
Dr. Kathryn Dodd Shumate, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4519 Hixson Pike, Hixson, TN 37343 Phone: 423-877-4591 Fax: 423-877-4225 | |
Dr. Becky S Mcmahan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4519 Hixson Pike, Hixson, TN 37343 Phone: 423-877-4591 Fax: 423-877-4225 | |
Dr. Kathleen Richey Demars, Pediatrics Medicare: Medicare Enrolled Practice Location: 1039 Executive Dr Ste 101, Hixson, TN 37343 Phone: 423-874-0125 Fax: 423-874-0154 | |
Timothy P Davis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1039 Executive Dr Ste 101, Hixson, TN 37343 Phone: 423-874-0125 Fax: 423-874-0154 |