Elite Family Practice

LBN: Elite Family Practice
Elite Family Practice is an health care organization with primary practice located at 6126 Prestley Mill Rd Suite H, Douglasville GA 30134-5623. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Elite Family Practice can be contacted via phone (678) 715-2993, or through Miles, Delania W via phone (678) 715-2993.

Contact Information

Primary practice address
6126 Prestley Mill Rd Suite H Douglasville GA 30134-5623
Phone: (678) 715-2993
Fax: (678) 715-2827
Website:
Map and Directions
Authorized official contact:
Name: Miles, Delania W
Phone: (678) 715-2993

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 041745 Georgia

Profile Details

NPI number 1710236880
LBN Legal business name Elite Family Practice
DBA Doing business as
Authorized official Miles, Delania W
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2012
Last updated Sep 5th, 2012 - about 12 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.

Request for update

Popular Providers