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Organization
ELITE MEDICAL CENTER LLC
Active
Organization
ELITE MEDICAL CENTER LLC
Active
Other names
Elite Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN PRIME DC (OWNER)
(704) 473-4653
Entity
Organization
Contact information
Practice address
12 GROCE RD, LYMAN, SC 29365-1631
(864) 439-1345
(864) 439-1346
Mailing address
12 GROCE RD, LYMAN, SC 29365-1631
(864) 439-1345
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
12/17/2019
Last updated
12/11/2024
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