Individual
STEVEN M ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 COLLIER RD NW STE 4060, ATLANTA, GA 30309-1765
(404) 351-6662
(404) 351-6030
Mailing address
2865 CHANCELLOR DR, SUITE 225, CRESTVIEW HILLS, KY 41017-3912
(859) 341-5400
(859) 578-4594
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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