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NPI Code Detail

MEDICARE: MR. JULIUS BRANDON ELMORE M.D.

MEDICARE: MR. JULIUS BRANDON ELMORE 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
1207RC0000XCardiovascular Disease Physician078025GA

General Provider Information

NPI Number : 1457523367
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JULIUS BRANDON ELMORE M.D.
Provider Business Mailing Address
First Line : 1062 FORSYTH ST
Second Line : STE 1B
City : MACON
State : GA
Zip : 31201-8638
Country : US
Telephone Number : 478-741-1208
Fax Number :
Provider Business Practice Location Address
First Line : 1062 FORSYTH ST STE 1B
Second Line :
City : MACON
State : GA
Zip : 31201-8638
Country : US
Telephone Number : 478-741-1208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2008
Last Update Date : 07/21/2022

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