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Organization
ELITE MEDICAL ASSOCIATES LLC
Active
Organization
ELITE MEDICAL ASSOCIATES LLC
Active
Other names
ELITE MEDICAL ASSOCIATES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER PENROD (BILLER)
(305) 900-4715
Entity
Organization
Contact information
Practice address
6290 MCDONOUGH DR STE D2, NORCROSS, GA 30093-1203
(770) 870-9481
Mailing address
6290 MCDONOUGH DR STE D2, NORCROSS, GA 30093-1203
(770) 870-9481
(512) 532-0923
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
04/28/2021
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