Organization
MARK P. ELAM, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS STOUT (ADMINISTRATOR)
(706) 226-4642
Entity
Organization
Contact information
Practice address
1115 PROFESSIONAL BLVD, DALTON, GA 30720-2628
(706) 226-4642
Mailing address
1575 CHATTANOOGA AVE, SUITE 2, DALTON, GA 30720-2671
(706) 876-2186
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
036417
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000546532D
—
GA
Enumeration date
05/04/2012
Last updated
05/04/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us