Organization
ELITE PRIME HEALTH
Active
Organization
ELITE PRIME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALINDA CONRAD FNP-BC (FAMILY NURSE PRACTITIONER)
(901) 573-7374
Entity
Organization
Contact information
Practice address
3270 WALTON RIVERWOOD LN SE, 3056, ATLANTA, GA 30339-3561
(901) 573-7374
Mailing address
3270 WALTON RIVERWOOD LN SE, 3056, ATLANTA, GA 30339-3561
(901) 573-7374
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13630
TN
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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