Elias Samuel Thibado

NPI #1871373100 in Madison, Tennessee

Provider Information

NPI Number
1871373100
Entity Type
Individual
Name
Elias Samuel Thibado
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Enumeration Date
Oct 4, 2023
Last Updated
Oct 4, 2023

Practice Location

Address
315 HOSPITAL DR
ZIP Code
37115-5030
Phone
(615) 732-7662

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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