MEDICARE: DR. AUBREY DOYCE MCELROY JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	25277	TN

General Provider Information

NPI Number	:	1144393331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUBREY DOYCE MCELROY JR. M.D.

Provider Business Mailing Address
First Line	:	2406 SUSANNAH ST
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37601-1725
Country	:	US
Telephone Number	:	423-737-0605
Fax Number	:

Provider Business Practice Location Address
First Line	:	2406 SUSANNAH ST
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37601-1725
Country	:	US
Telephone Number	:	423-282-2542
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	03/23/2008

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