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Organization
ELITE MEDICAL GROUP, LLC
Active
Organization
ELITE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATH SHARPE (MANAGER)
(864) 268-9040
Entity
Organization
Contact information
Practice address
25 DRAPER ST APT 120, GREENVILLE, SC 29611-4786
(864) 268-9040
Mailing address
2541 N PLEASANTBURG DR STE 307, GREENVILLE, SC 29609-2728
(864) 268-9040
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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