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Organization
ELITE CONCEPT GROUP
Active
Organization
ELITE CONCEPT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIRRELL SUMMERS (CEO)
(984) 289-7994
Entity
Organization
Contact information
Practice address
3901 CAPITAL BLVD, RALEIGH, NC 27604-3488
(984) 289-7994
Mailing address
3901 CAPITAL BLVD, RALEIGH, NC 27604-3488
(984) 289-7994
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/24/2025
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