Individual
ELROMA ALEX DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1462 CLIFTON RD NE STE 280, ATLANTA, GA 30322-1000
(661) 209-4810
Mailing address
PO BOX 15191, ATLANTA, GA 30333-0191
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61204
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
08/28/2019
Last updated
02/10/2023
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