Individual
CRAIG A ELMETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 6TH AVE S, BIRMINGHAM, AL 35233-2110
(205) 801-8000
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21311
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000077185
BLUE CROSS
AL
05
—
000077185
—
AL
01
—
051595786
BLUE CROSS
AL
01
—
051598224
BLUE CROSS
AL
01
—
070012970
RAILROAD MEDICARE
AL
05
—
08577524
—
MS
05
—
107049
—
AL
01
—
A15185
VIVA
AL
Enumeration date
06/15/2006
Last updated
06/29/2023
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