Individual
JOHN SAMS HARRISON ELEBASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2815 EASTERN BLVD, MONTGOMERY, AL 36116-1021
(334) 323-2050
Mailing address
2815 EASTERN BLVD, MONTGOMERY, AL 36116-1021
(334) 323-2050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-160098
AL
Other
Enumeration date
09/26/2022
Last updated
04/12/2024
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