Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARARNCE DERAIL ELAM
Active Sole ProprietorAir Carrier · LYNCHBURG, VA
Registration Details
- NPI Number
- 1154927747
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2020 (5.3706644067473 yrs)
- Last Updated
- Dec 8, 2020
- License
-
T60711698 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
491 RUSSELL SPRINGS DRLYNCHBURG, VA, 245017280Browse VA providers · Browse ZIP 24501
- Phone
- 4344732262
- Primary Specialty
-
Air Carrier
343800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.