Individual
ELMA MERA STEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3624 CHAMBLEE TUCKER RD, CHAMBLEE, GA 30341-4418
(770) 938-9401
(770) 938-8222
Mailing address
3624 CHAMBLEE TUCKER RD, CHAMBLEE, GA 30341-4418
(770) 938-9401
(770) 938-8222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
010080
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00639944A
—
GA
01
—
1060048
QUALITY CARE ID
GA
01
—
14108
BLUE CROSS PROVIDER ID
GA
01
—
60054
AETNA PROVIDR ID
GA
01
—
7018326
CIGNA ID
GA
Enumeration date
01/27/2006
Last updated
07/09/2007
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