Organization
ELITE SPECTRUM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKESHIA WELLS (OWNER)
(678) 249-5229
Entity
Organization
Contact information
Practice address
3535 PEACHTREE RD NE, STE 520-230, ATLANTA, GA 30326-3287
(678) 249-5229
Mailing address
3535 PEACHTREE RD NE, STE 520-230, ATLANTA, GA 30326-3287
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
10/04/2015
Last updated
08/23/2016
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