Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0208X | Pediatric Infectious Diseases | 65715 | GA |
Y | 2080P0208X | Pediatric Infectious Diseases | MD461230 | PA |
NPI | 1417133463 |
---|---|
Provider Name | Anita Mcelroy |
First Address | Atlanta, GA 30322-0001 |
Second Address | Pittsburgh, PA 15224 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2008 |
Last Update Date | 11/12/2017 |