Organization · Type 2 NPI
Northeast Elite Medical Clinic, LLC
Family Nurse Practitioner · Columbia, SC
NPI number
1497322325
Active
Practice location
136-4 Forum Dr, 1018
Columbia, SC 29229
Fax (803) 800-2007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Urgent Care Clinic/Center | 261QU0200X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1497322325
Northeast Elite Medical Clinic, LLC's National Provider Identifier is 1497322325, issued on Jun 9, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, SC. The record was last updated on Jun 9, 2021.