# ELITE PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elite Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861732745
- **Authorized official:** DR. CARLO L PIKE DO (MANAGING PARTNER)
- **Authorized official phone:** (931) 245-1701

## Contact information

- **Practice address:** 2690 MADISON ST, SUITE 130, CLARKSVILLE, TN 37043-5975
- **Practice address phone:** (931) 245-1701
- **Practice address fax:** (931) 245-1720
- **Mailing address:** 2690 MADISON STREET, SUITE 130, CLARKSVILLE, TN 37043-0000
- **Mailing address phone:** (931) 245-1701
- **Mailing address fax:** (931) 245-1720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 2297 | TN | — |
| 207Q00000X | Family Medicine Physician | DO1638 | TN | Yes |
| 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