CHELSEA AUTUMN ELWOOD

PROVIDENCE MEDICAL GROUP, LLC

Dr CHELSEA AUTUMN ELWOOD is a female medical professional, specializing in Physician Assistant. She graduated in 2016.

Contact

PROVIDENCE MEDICAL GROUP, LLC

2723 S 7TH ST A
TERRE HAUTE
IN
478023558

Tel: 8122328164

CHELSEA AUTUMN ELWOOD Information

Npi 1972952562
Pac Id 8123311057
Professional Enrollment Id I20160729000307
Last Name ELWOOD
First Name CHELSEA
Middle Name AUTUMN
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE MEDICAL GROUP, LLC
Group Practice Pac Id 9335135995
Number Of Group Practice Members 36
Line 1 Street Address 2723 S 7TH ST A
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TERRE HAUTE
State IN
Zip Code 478023558
Phone Number 8122328164
Hospital Affiliation Ccn 1 150023
Hospital Affiliation Lbn 1 UNION HOSPITAL INC
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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