Organization · Type 2 NPI
Elite Medical Clinic, LLC
Multi-Specialty Clinic/Center · Douglas, GA
NPI number
1407505142
Active
Practice location
1204 Ocilla Rd
Douglas, GA 31533-2220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1407505142
Elite Medical Clinic, LLC's National Provider Identifier is 1407505142, issued on Mar 21, 2022. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Douglas, GA. The record was last updated on Mar 21, 2022.