Elder, John Frederick

Elder, John Frederick is an individual health care provider with primary practice located at 1199 Prince Ave , Athens GA 30606-2797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Elder, John Frederick can be contacted via phone (706) 475-7000.

Contact Information

Primary practice address
1199 Prince Ave Athens GA 30606-2797
Fax: (706) 475-6676
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 020098 Georgia

Profile Details

NPI number 1992781132
LBN Legal business name Elder, John Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Feb 14th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992781132 NPPES
Georgia MEDICAID 000188108B

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