Individual
KATE ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
790 CHURCH ST NE STE 400, MARIETTA, GA 30060-8957
(678) 239-0420
Mailing address
790 CHURCH ST NE STE 400, MARIETTA, GA 30060-8957
(278) 239-0420
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
98954
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/09/2018
Last updated
06/26/2025
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