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Contact Information

GREGORY R ELLIOTT, MD
5875 BREMO RD
SUITE 104
RICHMOND, VA23226-1934
 Phone: 804-287-7770
 Fax: 804-287-7801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GREGORY R ELLIOTT · (Male)

NPI Number 1295839629
Status Active
Credentials MD
Entity Individual
Enumeration date 09/07/2006
Last updated 05/10/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101045949
  • VA Medicaid 1295839629
  • VA Other C06778 GROUP PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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