Elam, Mattie Anita
Elam, Mattie Anita is an individual health care provider with primary practice located at 300 W Hospital Rd Eisenhower Army Medical Center, Fort Gordon GA 30905-5741. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Elam, Mattie Anita can be contacted via phone (706) 787-2720.Contact Information
Primary practice address
300 W Hospital Rd Eisenhower Army Medical Center
Fort Gordon GA 30905-5741
Phone: (706) 787-2720
Fax: (706) 787-8176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH015725 | Georgia |
| Pharmacy Service Providers / Pharmacist | 183500000X | T09902 | Mississippi |
Profile Details
| NPI number | 1497911788 |
|---|---|
| LBN Legal business name | Elam, Mattie Anita |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2008 |
| Last updated | Aug 6th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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