Organization
ELITE MULTI SPECIALTY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADAORA PERPETUA NOUMMY (PRESIDENT/OWNER)
(301) 604-4033
Entity
Organization
Contact information
Practice address
12501 PROSPERITY DR STE 330, SILVER SPRING, MD 20904-1655
(301) 604-4033
(240) 645-4013
Mailing address
12501 PROSPERITY DR STE 330, SILVER SPRING, MD 20904-1655
(301) 604-4033
(240) 645-4013
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
945614700
—
MD
Enumeration date
05/29/2013
Last updated
08/11/2020
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