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NPI Code Detail

MEDICARE: NANCY ELWOOD, MD PC

MEDICARE: NANCY ELWOOD, MD PC
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
1207Q00000XFamily Medicine Physician053140GA

General Provider Information

NPI Number : 1689789703
Entity Type Code : Organization
Provider Name (Legal Business Name) : NANCY ELWOOD, MD PC
Provider Business Mailing Address
First Line : 1811 EDWINA DR
Second Line :
City : VIDALIA
State : GA
Zip : 30474-8963
Country : US
Telephone Number : 912-538-9774
Fax Number : 912-608-8037
Provider Business Practice Location Address
First Line : 1811 EDWINA DR
Second Line :
City : VIDALIA
State : GA
Zip : 30474-8963
Country : US
Telephone Number : 912-538-9774
Fax Number : 912-608-8037
Authorized Official
Title or Position : PRESIDENT
Name : MS. NANCY SUE ELWOOD
Credential : M.D.
Telephone Number : 912-538-9774
Provider Enumeration Date : 08/20/2006
Last Update Date : 06/22/2009

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Directions to “NANCY ELWOOD, MD PC ” Practice Location

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