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Organization

ELITE COMMUNITY HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA STEELE (OWNER)
(704) 864-9668
Entity
Organization

Contact information

Practice address
2409 E OZARK AVE, GASTONIA, NC 28054-1421
(704) 864-9668
Mailing address
2212 UNION RD, SUITE 700 PMB 507, GASTONIA, NC 28054-3700

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5913523
NC
Enumeration date
02/01/2010
Last updated
04/16/2010
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