Organization
ELITE HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL D. HEATHINGTON APRN, NP-C (NP/OWNER)
(228) 207-0408
Entity
Organization
Contact information
Practice address
428 COURTHOUSE RD STE B, GULFPORT, MS 39507-1868
(228) 207-0408
(228) 207-0409
Mailing address
428 COURTHOUSE RD STE B, GULFPORT, MS 39507-1868
(228) 207-0408
(228) 207-0409
Taxonomy
Speciality
Code
Description
License number
State
364SW0102X
Women's Health Clinical Nurse Specialist
Primary
—
—
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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