Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 052714 | GA |
NPI | 1114990678 |
---|---|
Provider Name | Dr. Gary Elkin |
First Address | Savannah, GA 31419-1753 |
Second Address | Savannah, GA 31419-1753 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 27/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
602007313A | (05) | GA |
G91868 | (02) | GA |
P00022900 | MEDICARE RAILROAD (01) | GA |