Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colton Elmore, 390200000X

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043173164

Colton Elmore, 390200000X is a Student in an Organized Health Care Education/Training Program in Andalusia, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2025

Practice location Address checks out

20767 Al Highway 55
Andalusia, AL 36420-6626
Phone: (334) 343-1053
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (AL)

Record details

NPI number1043173164
Entity typeIndividual (Type 1)
GenderMale
Credentials 390200000X
Sole proprietorYes
NPI enumeratedDecember 5, 2025
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

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