Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0103X | Foot & Ankle Surgery | 003788 | OH |
Y | 213ES0103X | Foot & Ankle Surgery | 2101 | TX |
NPI | 1053686725 |
---|---|
Provider Name | Dr. Abigail L Elliott |
First Address | Mount Vernon, OH 43050-1440 |
Second Address | Mount Vernon, OH 43050-1440 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2012 |
Last Update Date | 09/03/2021 |