Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELITE FAMILY PRACTICE
Active OrganizationELITE FAMILY PRACTICE is a Preferred Provider Organization organization located in DOUGLASVILLE, Georgia. NPI 1710236880 is currently active in the NPPES registry. Verify at CMS.
Preferred Provider Organization · DOUGLASVILLE, GA
Registration Details
- NPI Number
- 1710236880
- Provider Type
- Organization
- NPI Issued
- Sep 5, 2012 (13.962898256057 yrs)
- Last Updated
- Sep 5, 2012
- License
-
041745 (GA)
Practice Information
- Address
-
6126 PRESTLEY MILL RDSUITE HDOUGLASVILLE, GA, 301345623Browse GA providers · Browse ZIP 30134
- Phone
- 6787152993
- Fax
- 6787152827
- Primary Specialty
-
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.