Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Henry Claude Eliacin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053136192

Henry Claude Eliacin is a Student in an Organized Health Care Education/Training Program in Johnson City, Tennessee. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

325 N State Of Franklin Rd Fl 3
Johnson City, TN 37604-6171
Phone: (423) 439-7201
Fax: (423) 439-7219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1053136192
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 21, 2024
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024
Mailing address325 N State Of Franklin Rd Fl 3, Johnson City, TN 37604-6171

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