Individual
DANIEL CHRISTOPHER MCELHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
191 MEDICAL BLVD, STOCKBRIDGE, GA 30281-5083
(678) 604-5028
Mailing address
1035 SOUTHCREST DR, SUITE # 250, STOCKBRIDGE, GA 30281-6118
(770) 996-9945
(770) 996-7355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3733
GA
363AS0400X
Surgical Physician Assistant
003733
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003489
BLUE CROSS BLUE SHIELD
GA
05
—
100002270A
—
GA
01
—
970028667
MEDICARE RAILROAD
GA
Enumeration date
01/18/2007
Last updated
12/30/2024
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