Individual
DR. AMY L ELSASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
063188
GA
207RI0011X
Interventional Cardiology Physician
Primary
063188
GA
207UN0901X
Nuclear Cardiology Physician
063188
GA
207UN0902X
Nuclear Imaging & Therapy Physician
063188
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316796310S
—
GA
05
—
316796310T
—
GA
05
—
316796310U
—
GA
05
—
316796310V
—
GA
Enumeration date
07/03/2007
Last updated
11/05/2019
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