Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 46296 | TN |
NPI | 1356544340 |
---|---|
Provider Name | Elena Caron |
First Address | Memphis, TN 38103-2816 |
Second Address | Memphis, TN 38103-2816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 14/10/2020 |