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NPI Code Detail

MEDICARE: NOEL ROSE ELKAREH

MEDICARE: NOEL ROSE ELKAREH
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
1183500000XPharmacist031774GA

General Provider Information

NPI Number : 1902494180
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOEL ROSE ELKAREH
Provider Business Mailing Address
First Line : 1270 SPRING ST NW UNIT 547
Second Line :
City : ATLANTA
State : GA
Zip : 30309-3087
Country : US
Telephone Number : 678-287-9509
Fax Number :
Provider Business Practice Location Address
First Line : 1035 LOWER FAYETTEVILLE RD
Second Line :
City : NEWNAN
State : GA
Zip : 30265-1132
Country : US
Telephone Number : 678-423-8891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2021
Last Update Date : 01/04/2021

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Directions to “ NOEL ROSE ELKAREH ” Practice Location

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