Organization
ELITE PREFERRED HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESHONNA MARTIN (MA)
(248) 843-5470
Entity
Organization
Contact information
Practice address
13 COPORATE BLVD, BROOKHAVEN, GA 30329
(248) 843-5470
(313) 749-9118
Mailing address
3915 HIGH DOVE WAY SW, SMYRNA, GA 30082-3562
(248) 843-5470
(313) 749-9118
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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