Elizabeth Maxwell, M.D. PLLC.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ELIZABETH MAXWELL, M.D. PLLC.

Practice address

132 St. Andrews Dr Ste D
Murfreesboro, TN 37128

Phone

(615) 217-4564

Fax

(615) 217-4566

NPI assigned

Jul 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Reathia E. Souviron

Title

Office Manager

Phone

(615) 217-4564

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1962602896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 SAINT ANDREWS DR STE D",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371283529",
            "telephone_number": "615-217-4564",
            "fax_number": "615-217-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ST. ANDREWS DR STE D",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37128",
            "telephone_number": "615-217-4564",
            "fax_number": "615-217-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH MAXWELL, M.D. PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "SOUVIRON",
        "authorized_official_first_name": "REATHIA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-217-4564",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Health Service Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.