Organization
MEDICAL ELITE NETWORK CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIOUNA RICHARDS (OWNER)
(404) 771-8543
Entity
Organization
Contact information
Practice address
3277 SUMMIT GLEN DR, LOGANVILLE, GA 30052-5398
(404) 771-8543
Mailing address
3277 SUMMIT GLEN DR, LOGANVILLE, GA 30052-5398
(404) 771-8543
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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