Elite Medical Clinic, Llc

LBN: Elite Medical Clinic, Llc
Elite Medical Clinic, Llc is an health care organization with primary practice located at 1204 Ocilla Rd , Douglas GA 31533-2220. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Elite Medical Clinic, Llc can be contacted via phone (912) 393-5120, or through Wilson, Teresa via phone (912) 393-5120.

Contact Information

Primary practice address
1204 Ocilla Rd Douglas GA 31533-2220
Phone: (912) 393-5120
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Teresa FNPC
Phone: (912) 393-5120

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1407505142
LBN Legal business name Elite Medical Clinic, Llc
DBA Doing business as
Authorized official Wilson, Teresa FNPC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2022
Last updated Mar 21st, 2022 - about 2 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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