Individual
MR. DARRELL R ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
640 SUMMIT CROSSING PLACE, SUITE 204, GASTONIA, NC 28054-2142
(704) 865-0626
(704) 865-6531
Mailing address
640 SUMMIT CROSSING PLACE, SUITE 204, GASTONIA, NC 28054-2142
(704) 865-0626
(704) 865-6531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
100702
NC
208000000X
Pediatrics Physician
100702
NC
Other
Enumeration date
12/19/2006
Last updated
10/23/2007
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