Organization
SANDRA Y ELLIOTT MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA YOUNG ELLIOTT MD (OWNER)
(304) 421-4514
Entity
Organization
Contact information
Practice address
3501 MACCORKLE AVE SE, SUITE 202, CHARLESTON, WV 25304-1419
(304) 421-4514
(877) 893-7441
Mailing address
3501 MACCORKLE AVE SE, SUITE 202, CHARLESTON, WV 25304-1419
(304) 421-4514
(877) 893-7441
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15724
WV
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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