Organization
ELITE CARE INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRIYA CHOYAN PALLIYIL MD (MD)
(770) 667-0810
Entity
Organization
Contact information
Practice address
1240 UPPER HEMBREE RD, STE D, ROSWELL, GA 30076-0914
(770) 667-0810
(678) 288-7942
Mailing address
1240 UPPER HEMBREE RD, STE D, ROSWELL, GA 30076-0914
(770) 667-0810
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
053869
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385314069A
—
GA
Enumeration date
01/03/2011
Last updated
03/29/2011
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