Organization · Type 2 NPI
Elite Medical Group
Psychiatric/Mental Health Nurse Practitioner · Lithonia, GA
NPI number
1700147063
Active
Practice location
3965 Glen Park Dr
Lithonia, GA 30038-3692
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1700147063
Elite Medical Group's National Provider Identifier is 1700147063, issued on Jun 4, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lithonia, GA. The record was last updated on Jun 4, 2012.