Individual
REBECCA DAVIS ELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6334 CEDAR LANE, SUITE 103, COLUMBIA, MD 21044
(443) 849-3184
(410) 531-2608
Mailing address
6701 N. CHARLES STREET, SUITE 4105, BALTIMORE, MD 21204
(443) 849-3184
(443) 849-3182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0041955
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-60878
EVERCARE
—
01
—
263108258
TRICARE NORTH
—
05
—
308481700
—
MD
01
—
523947-06
CAREFIRST BCBS OF MD
—
01
—
P516-0002
CAREFIRST BCBS OF DC
—
Enumeration date
06/17/2006
Last updated
07/19/2010
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