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Individual
ELAINE B ST JOHN
Active
Individual
ELAINE B ST JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
11210
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00114023
MISSISSIPPI MEDICAID
AL
01
—
00485207X
GEORGIA MEDICAID
AL
01
—
2218
HEALTHSPRING
AL
01
—
4710039
UHC
AL
01
—
510-17015
BC BS
—
01
—
C76552
VIVA
—
Enumeration date
06/22/2006
Last updated
07/08/2007
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