Organization · Type 2 NPI

Elite Medical Care and Weight Loss Center, LLC

Adult Medicine Physician · Newnan, GA

NPI number 1184957078 Active

Practice location

186 Jefferson Pkwy
Newnan, GA 30263-5822

Mailing address

PO Box 72445
Newnan, GA 30271-2445

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1184957078

Elite Medical Care and Weight Loss Center, LLC's National Provider Identifier is 1184957078, issued on Sep 10, 2009. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Newnan, GA. The record was last updated on Sep 10, 2009.