Individual
DR. STEPHANIE L. ELKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF HEMATOLOGY, JACKSON, MS 39216-4500
(601) 984-5615
(601) 984-5689
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5615
(601) 984-5689
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
11718
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1691321
—
LA
05
—
96397
—
MS
01
—
P00462196
RAILROAD MEDICARE PTAN
MS
01
—
RR 820000133
RAILROAD
MS
Enumeration date
06/28/2006
Last updated
10/09/2018
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