Robert L Elwell Jr (NPI# 1396925749, PAC ID# 5890736086) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1396925749 |
PAC ID by PECOS | 5890736086 |
Professional Enrollment ID | I20050518000478 |
Full Name | Robert L Elwell Jr |
Address |
673 W Washington St Monticello GA 31064-1371 |
Gender | M |
Credential | OD |
Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
Graduation Year | 1976 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
739 W Peachtree St Nw, Atlanta, GA 30308-1137 | 4048759011 | CENTER FOR THE VISUALLY IMPAIRED |
673 W Washington St, Monticello, GA 31064-1371 |
Street Address |
673 W WASHINGTON ST |
City | MONTICELLO |
State | GA |
Zip | 31064-1371 |
Name | Specialty | Organization | Address |
---|---|---|---|
Derrick F Lane | Family Medicine | Jasper Health Services Inc. | 898 College St, Jasper Memorial Hosp, Monticello, GA 31064-1261 |
Elizabeth Copelan Wood | Physician Assistant | Jasper Health Services Inc. | 898 College St, Jasper Memorial Hosp, Monticello, GA 31064-1261 |
Ashley S Nordstrom | Physician Assistant | Jasper Health Services Inc. | 898 College St, Jasper Memorial Hosp, Monticello, GA 31064-1261 |
Nicole E Ross | Internal Medicine | Jasper Health Services Inc. | 898 College St, Jasper Memorial Hosp, Monticello, GA 31064-1261 |
Nataliya A Kubasova | Family Medicine | Jasper Health Services Inc. | 898 College St, Jasper Memorial Hosp, Monticello, GA 31064-1261 |
Lyndsy A Holman | Chiropractic | 972 College St, Monticello, GA 31064-2107 | |
Anthony M Omeara | Family Medicine | Venture Medical Associates LLC | 545 Venture Ct, Monticello, GA 31064-7788 |
City | MONTICELLO |
Zip Code | 31064 |
Specialty | OPTOMETRY |
City + Specialty | MONTICELLO + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.