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NPI Code Detail

MEDICARE: ELENA CABB D.O

MEDICARE:   ELENA  CABB  D.O
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician80542GA

General Provider Information

NPI Number : 1417372483
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELENA CABB D.O
Provider Business Mailing Address
First Line : 1833 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30329-4021
Country : US
Telephone Number : 404-728-6500
Fax Number :
Provider Business Practice Location Address
First Line : 1372 PEACHTREE ST NE
Second Line : STE 100
City : ATLANTA
State : GA
Zip : 30309-3203
Country : US
Telephone Number : 470-964-1700
Fax Number : 678-288-5639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2014
Last Update Date : 07/23/2025

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Directions to “ ELENA CABB D.O” Practice Location

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