Individual
DR. JACKSON C ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 63110-1003
(314) 362-1700
(314) 362-9878
Mailing address
PO BOX 1705, C B 8058, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2015032584
MO
Other
Enumeration date
07/09/2012
Last updated
03/16/2016
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