Individual
JOHN NICHOLS ELGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3316 HIGHWAY 280, ALEXANDER CITY, AL 35010-3369
(256) 329-7295
(256) 329-7186
Mailing address
987 SMITH MOUNTAIN DR, JACKSONS GAP, AL 36861-2540
(256) 329-7295
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18422
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00076882
—
AL
01
—
51076882
BLUE CROSS PROVIDER NUMBE
AL
Enumeration date
07/21/2006
Last updated
07/09/2007
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