Elite Care Internal Medicine Pc

LBN: Elite Care Internal Medicine Pc
Elite Care Internal Medicine Pc is an health care organization with primary practice located at 1240 Upper Hembree Rd Ste D, Roswell GA 30076-0914. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Elite Care Internal Medicine Pc can be contacted via phone (770) 667-0810, or through Palliyil, Priya Choyan via phone (770) 667-0810.

Contact Information

Primary practice address
1240 Upper Hembree Rd Ste D Roswell GA 30076-0914
Phone: (770) 667-0810
Fax: (678) 288-7942
Website:
Map and Directions
Authorized official contact:
Name: Palliyil, Priya Choyan Doctor of Medicine (MD)
Phone: (770) 667-0810

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 053869 Georgia

Profile Details

NPI number 1235433418
LBN Legal business name Elite Care Internal Medicine Pc
DBA Doing business as
Authorized official Palliyil, Priya Choyan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2011
Last updated Mar 29th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235433418 NPPES
Georgia MEDICAID 385314069A

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