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Organization

ELITE FAITH MOBILE MEDICAL CLINIC PLLC

Active
Other names
Elite Faith Mobile Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA SHEPHERD DNP, FNP-C (FOUNDER AND CEO)
(434) 989-0484
Entity
Organization

Contact information

Practice address
95 KYLE CT, GORDONSVILLE, VA 22942-6249
(434) 989-0484
Mailing address
95 KYLE CT, GORDONSVILLE, VA 22942-6249

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
261QR1300X
Rural Health Clinic/Center

Other

Enumeration date
05/20/2024
Last updated
05/20/2024
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