Elite Medical Associates, Pc

LBN: Elite Medical Associates, Pc
Elite Medical Associates, Pc is an health care organization with primary practice located at 143 S Tallahassee St , Hazlehurst GA 31539-6466. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Elite Medical Associates, Pc can be contacted via phone (912) 375-4400, or through Pullin, Patrick B via phone (912) 375-4400.

Contact Information

Primary practice address
143 S Tallahassee St Hazlehurst GA 31539-6466
Phone: (912) 375-4400
Fax: (911) 237-5449
Website:
Map and Directions
Authorized official contact:
Name: Pullin, Patrick B
Phone: (912) 375-4400

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 051068 Georgia
Other Service Providers / Specialist 174400000X 049936 Georgia

Profile Details

NPI number 1427237775
LBN Legal business name Elite Medical Associates, Pc
DBA Doing business as
Authorized official Pullin, Patrick B
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2007
Last updated May 1st, 2008 - about 16 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 1427237775 NPPES
Georgia MEDICAID 362318407A
Georgia MEDICAID 455996743A

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