Clyde Dale Elliott in Alabaster - Cardiovascular Disease
Clyde Dale Elliott - NPI 1124005673
Clyde Dale Elliott is a Cardiovascular Disease in Alabaster, Alabama. Clyde Dale Elliott practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Clyde Dale Elliott is 1124005673. The last update date is 2010-07-21.
Clyde Dale Elliott's current location address is 1022 1st St N, Alabaster, Alabama. You can contact this provider via phone number 2056635775 and fax number 2056642112. The mailing address for Clyde Dale Elliott is 1022 1st St N, Alabaster, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Name | Clyde Dale Elliott |
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Address | 1022 1st St N, Alabaster, Alabama |
Phone Number | 2056635775 |
Fax Number | 2056642112 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1124005673 |
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Provider Enumeration Date | 2005-12-27 |
Last Updated Date | 2010-07-21 |
Provider Mailing Address Detail
Address | 1022 1st St N |
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City | Alabaster |
State | Alabama (AL) |
Post Code | 350078706 |
Phone Number | 2056635775 |
Fax Number | 2056642112 |
Provider's Primary Taxonomy Detail
Speciality | Cardiovascular Disease |
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Taxonomy | 207Rc0000X |
Licence No | 6974 |
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
51552706 | AL | -- |
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What is the unique 10-digit identifier code issued to Clyde Dale Elliott by the Centers for Medicare & Medicaid Services?
The Clyde Dale Elliott has been assigned the NPI (National Provider Identifier) 1124005673 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Clyde Dale Elliott located?
The Clyde Dale Elliott is located at 1022 1St St N, Alabaster, AL 350078706.
What is Clyde Dale Elliott's area of expertise and its corresponding taxonomy classification?
The Clyde Dale Elliott's field of specialization is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1124005673 assigned to Clyde Dale Elliott?
The Clyde Dale Elliott was issued its 1124005673 on 2005-12-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Clyde Dale Elliott, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Clyde Dale Elliott, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-07-21.