Individual
ANGELIA H ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1912 AL HIGHWAY 157, CULLMAN, AL 35058-0609
(256) 737-2000
(256) 737-2152
Mailing address
503 CLARK ST NE, CULLMAN, AL 35055-1921
(256) 739-1759
(256) 739-0027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22784
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009960750
—
AL
01
—
51501647
BCBS OF AL
AL
01
—
E873
MEDICARE GROUP ID #
—
Enumeration date
11/08/2005
Last updated
04/08/2025
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