Organization
ELITE MEDICAL CENTER LLC
Active
Other names
Elite Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN PRIME DC (OWNER)
(704) 473-4653
Entity
Organization
Contact information
Practice address
12 GROCE RD, LYMAN, SC 29365-1631
(864) 439-1345
(864) 439-1346
Mailing address
12 GROCE RD, LYMAN, SC 29365-1631
(864) 439-1345
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
12/17/2019
Last updated
12/11/2024
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