MEDICARE: DR. ELIOT FRANKLIN BATTLE JR. M.D.

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
1	207N00000X	Dermatology Physician	MD33462	DC
2	207N00000X	Dermatology Physician	D0050131	MD

General Provider Information

NPI Number	:	1972749505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIOT FRANKLIN BATTLE JR. M.D.

Provider Business Mailing Address
First Line	:	5301 WISCONSIN AVE NW
Second Line	:	SUITE 110
City	:	WASHINGTON
State	:	DC
Zip	:	20015-2015
Country	:	US
Telephone Number	:	202-237-9292
Fax Number	:

Provider Business Practice Location Address
First Line	:	5301 WISCONSIN AVE NW
Second Line	:	SUITE 110
City	:	WASHINGTON
State	:	DC
Zip	:	20015-2015
Country	:	US
Telephone Number	:	202-237-9292
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2009
Last Update Date	:	01/03/2009

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