Organization · Type 2 NPI
Elite IV Hydration and Wellness
Clinic/Center · Mcdonough, GA
NPI number
1730843202
Active
Practice location
823 Pavilion Ct
Mcdonough, GA 30253-6666
Mailing address
5916 East Lake Pkwy, Suite 324
Mcdonough, GA 30253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
| Clinical Medical Laboratory | 291U00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1730843202
Elite IV Hydration and Wellness's National Provider Identifier is 1730843202, issued on Oct 29, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Mcdonough, GA. The record was last updated on Jun 30, 2023.