Provider Demographics
NPI:1154472355
Name:MCELROY, CHAD WADE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:WADE
Last Name:MCELROY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3119 SWEETBRIAR RD SW
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-2123
Mailing Address - Country:US
Mailing Address - Phone:205-807-3807
Mailing Address - Fax:
Practice Address - Street 1:122 MEDICAL CIR
Practice Address - Street 2:SUITE D
Practice Address - City:MOULTON
Practice Address - State:AL
Practice Address - Zip Code:35650-1221
Practice Address - Country:US
Practice Address - Phone:255-410-3544
Practice Address - Fax:256-278-2324
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL27509207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine