Organization
ELITE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANTHONY LAPAGLIA JR. MD (MEDICAL DIRECTOR)
(865) 224-6513
Entity
Organization
Contact information
Practice address
117 N 3RD ST, KINGSTON, TN 37763-2842
(865) 224-6513
(865) 245-4546
Mailing address
117 N 3RD ST, KINGSTON, TN 37763-2842
(865) 224-6513
(865) 245-4546
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3000348
—
TN
Enumeration date
08/21/2019
Last updated
08/21/2019
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