Provider Demographics
NPI:1740276328
Name:DANIELS, ELVAN CATHERINE (MD,MPH)
Entity type:Individual
Prefix:DR
First Name:ELVAN
Middle Name:CATHERINE
Last Name:DANIELS
Suffix:
Gender:F
Credentials:MD,MPH
Other - Prefix:DR
Other - First Name:ELVAN
Other - Middle Name:CATHERINE
Other - Last Name:COBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD,MPH
Mailing Address - Street 1:75 PIEDMONT AVE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-2544
Mailing Address - Country:US
Mailing Address - Phone:404-756-5271
Mailing Address - Fax:434-756-1402
Practice Address - Street 1:1513 CLEVELAND AVE BLDG 500
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30344-6949
Practice Address - Country:US
Practice Address - Phone:404-752-1000
Practice Address - Fax:404-752-1229
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0508762083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine