Individual
DR. ELLIOT LEE MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 WHITESPORT DR SW, SUITE 200, HUNTSVILLE, AL 35801-6454
(256) 880-0450
(256) 880-0754
Mailing address
333 WHITESPORT DR SW, SUITE 200, HUNTSVILLE, AL 35801-6454
(256) 880-0450
(256) 880-0754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5049
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004378719
AETNA
—
01
—
51020200003920
BCBS
AL
01
—
630641282
FIRST COMMUNITY
AL
01
—
630641282
MAILHANDLERS
—
01
—
CIGNA
630641282
—
01
—
XXXXX1282358010000
WPS TRICARE
—
Enumeration date
09/15/2006
Last updated
02/16/2010
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