Organization
ELITE MEDICAL SERVICES OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA CULL (COO)
(678) 469-5011
Entity
Organization
Contact information
Practice address
1544 SOUTHLAKE PKWY, SUITE 9D, MORROW, GA 30260-3025
(470) 878-0696
Mailing address
45 FAIRWAY RIDGE DR, JOHNS CREEK, GA 30022-5421
(678) 469-5011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
65394
GA
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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