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Individual

DR. ALEX JAMES ELKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
2500 N STATE ST, DEPT OF OTOLARYNGOLOGY, JACKSON, MS 39216-4500
(601) 984-5160
(601) 984-5085
Mailing address
2500 N STATE ST, DEPT OF OTOLARYNGOLOGY, JACKSON, MS 39216-4500
(601) 984-6426
(601) 984-6439

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A3811
MS
231H00000X
Audiologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01107082
MS
01
P01454873
RAILROAD MEDICARE PTAN
MS
Enumeration date
08/30/2013
Last updated
06/18/2015
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