Philip B Elledge
Oral & Maxillofacial Surgeon
2314 Pansy St Sw
Huntsville
, Alabama 35801-3803
Philip B Elledge
Oral & Maxillofacial Surgeon
2314 Pansy St Sw
Huntsville
, Alabama 35801-3803
(256) 534-5073
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Philip B Elledge
- 2314 Pansy St Sw
- Huntsville, AL
- Zip : 35801-3803
- Fax : (256) 534-5073
- Phone : (256) 534-5028
Second Address
- Philip B Elledge
- 2314 Pansy St Sw
- Huntsville, AL
- Zip : 35801-3803
- Fax : (256) 534-5073
- Phone : (256) 534-5028
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 5313C | AL |
National Provider Identifier
| NPI | 1437114246 |
|---|---|
| Provider Name | Philip B Elledge |
| First Address | Huntsville, AL 35801-3803 |
| Second Address | Huntsville, AL 35801-3803 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2006 |
| Last Update Date | 15/08/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U57382 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.