Provider Demographics
NPI:1427940584
Name:ELKINS, ABIGAIL FONTAINE
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:FONTAINE
Last Name:ELKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 GROVE CIR
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-0401
Mailing Address - Country:US
Mailing Address - Phone:443-789-6833
Mailing Address - Fax:
Practice Address - Street 1:326 MYRTLE CROSSING DR STE 100
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-4689
Practice Address - Country:US
Practice Address - Phone:912-764-7001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health