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Individual
STEVEN M ELLIOTT
Active
Individual
STEVEN M ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60729
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11433965
CAQH
GA
Enumeration date
11/29/2005
Last updated
11/02/2018
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