| Doctor Name: | MR. THOMAS AMOS ELLIOTT |
| NPI Number: | 1841307212 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 2705057306 |
| Business Practice Address: | Pob 1191 1113 Daingerfield St Tappahannock, VA - 225601191 |
| Business Phone Number: | 7038614997 |
| Business Fax Number: | 8044451914 |
| Mailing Address: | Pob 1191, 1113 Daingerfield Street TAPPAHANNOCK |
| State: | VA |
| Postal Code: | 225601191 |
| Phone Number: | 5715018865 |
| Fax Number: | |
| NPI Enumeration Date: | 08/23/2006 |
| NPI Last Update Date: | 05/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171WH0202X |
| License Number: | 2705057306 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Contractor |
| Taxonomy Specialization: | Home Modifications |
| Taxonomy Definition: | |