Individual
DR. JOHN FREDERICK ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-7000
(706) 475-6676
Mailing address
700 SUNSET DR, SUITE 601, ATHENS, GA 30606-2293
(706) 548-4754
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
020098
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000188108B
—
GA
Enumeration date
12/20/2005
Last updated
02/14/2018
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