Mark P. Elam, M.d., P.c.

NPI #1104185552 in Dalton, Georgia

Provider Information

NPI Number
1104185552
Entity Type
Organization
Organization Name
Mark P. Elam, M.d., P.c.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 4, 2012
Last Updated
May 4, 2012

Practice Location

Address
1115 PROFESSIONAL BLVD
City
Dalton
State
Georgia
ZIP Code
30720-2628
Phone
(706) 226-4642

Authorized Official

Name
DENNIS STOUT
Title
ADMINISTRATOR
Phone
(706) 226-4642

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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