Colton Elmore, 390200000X

NPI #1043173164 in Andalusia, Alabama

Provider Information

NPI Number: 1043173164
Entity Type: Individual
Name: Colton Elmore, 390200000X
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: 390200000X
Enumeration Date: Dec 5, 2025
Last Updated: Dec 5, 2025

Practice Location

Address: 20767 AL HIGHWAY 55
City: Andalusia
State: Alabama
ZIP Code: 36420-6626
Phone: (334) 343-1053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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