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NPI Code Detail

MEDICARE: DR. JAMES EARNEST ELDER M.D.

MEDICARE: DR. JAMES EARNEST ELDER 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
1207ZD0900XDermatopathology (Pathology) Physician11242AL
2207ZD0900XDermatopathology (Pathology) PhysicianME93129FL
3207ZD0900XDermatopathology (Pathology) Physician056703GA
4207ZD0900XDermatopathology (Pathology) Physician2005-01455NC
5207ZD0900XDermatopathology (Pathology) Physician41316TN
6207ZD0900XDermatopathology (Pathology) Physician31214SC
7207ZD0900XDermatopathology (Pathology) Physician0101244538VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568468270
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES EARNEST ELDER M.D.
Provider Business Mailing Address
First Line : 3560 INDEPENDENCE DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-5722
Country : US
Telephone Number : 205-949-2806
Fax Number : 205-949-2875
Provider Business Practice Location Address
First Line : 3550 INDEPENDENCE DR
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-5710
Country : US
Telephone Number : 205-949-2806
Fax Number : 205-949-2875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 10/01/2013

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