Individual
JACOB ELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 KENTUCKY AVENUE, MED PARK 1, SUITE 301, PADUCAH, KY 42003
(270) 575-3113
(270) 575-3135
Mailing address
2811 VILLAGE LN, BIRMINGHAM, AL 35211-5807
(205) 902-4020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.37493
AL
207RC0000X
Cardiovascular Disease Physician
MD.37493
AL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
TP710
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2017
Last updated
06/13/2025
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