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1649535469
JACKSON C ELAM
SAINT LOUIS, MO
NPI
1649535469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: MO 2015032584)
Enumeration Date
2012-07-09
Last Update Date
2016-03-16
Business Address
DR. JACKSON C ELAM MD
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110-1003
Phone number: 314-362-1700
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Mailing Address
DR. JACKSON C ELAM MD
PO BOX 1705 C B 8058
AUGUSTA, GA 30903-1705
Phone number: 706-774-7263
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