Individual
JOEL DOUGLAS ELAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9576 W NC 10 HWY, VALE, NC 28168-9409
(980) 484-3630
Mailing address
9576 W NC 10 HWY, VALE, NC 28168-9409
(704) 477-7135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NC
Other
Enumeration date
10/14/2024
Last updated
12/13/2024
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