Provider Demographics
NPI:1487308870
Name:ELMORE, EMILY FENNING (PA-C)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:FENNING
Last Name:ELMORE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:16890 FOREST RD
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-4059
Mailing Address - Country:US
Mailing Address - Phone:434-200-7210
Mailing Address - Fax:
Practice Address - Street 1:16890 FOREST RD
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-4059
Practice Address - Country:US
Practice Address - Phone:434-200-7210
Practice Address - Fax:434-525-2138
Is Sole Proprietor?:No
Enumeration Date:2022-02-05
Last Update Date:2024-10-03
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant