Elite Pediatric and Adolescent Medicine

NPI #1134435647 in Somerville, Tennessee

Provider Information

NPI Number: 1134435647
Entity Type: Organization
Organization Name: Elite Pediatric and Adolescent Medicine
Primary Specialty: Pediatrics
Enumeration Date: Aug 20, 2010
Last Updated: Aug 20, 2010

Practice Location

Address: 214 LAKEVIEW RD
Address 2: SUITE 2
City: Somerville
State: Tennessee
ZIP Code: 38068-9737
Phone: (901) 516-4082

Authorized Official

Name: DR. DERRICK RUSH HAMILTON, M.D.
Title: OWNER
Phone: (901) 237-7754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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