# ELITE PREFERRED HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649096777
- **Authorized official:** DESHONNA MARTIN (MA)
- **Authorized official phone:** (248) 843-5470

## Contact information

- **Practice address:** 13 COPORATE BLVD, BROOKHAVEN, GA 30329
- **Practice address phone:** (248) 843-5470
- **Practice address fax:** (313) 749-9118
- **Mailing address:** 3915 HIGH DOVE WAY SW, SMYRNA, GA 30082-3562
- **Mailing address phone:** (248) 843-5470
- **Mailing address fax:** (313) 749-9118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/22/2024
- **Last updated:** 11/22/2024