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Organization
ELITE PRIMARY CARE LLC
Active
Organization
ELITE PRIMARY CARE LLC
Active
Other names
Elite Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLO L PIKE DO (MANAGING PARTNER)
(931) 245-1701
Entity
Organization
Contact information
Practice address
2690 MADISON ST, SUITE 130, CLARKSVILLE, TN 37043-5975
(931) 245-1701
(931) 245-1720
Mailing address
2690 MADISON STREET, SUITE 130, CLARKSVILLE, TN 37043-0000
(931) 245-1701
(931) 245-1720
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2297
TN
207Q00000X
Family Medicine Physician
Primary
DO1638
TN
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/28/2013
Last updated
06/02/2015
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