Organization
EXCELSIOR HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELINA ZHU (CREDENTIALING COORDINATOR)
(770) 246-6100
Entity
Organization
Contact information
Practice address
777 W PEACHTREE ST, NORCROSS, GA 30071-1868
(770) 246-6100
(770) 246-6142
Mailing address
777 W PEACHTREE ST, NORCROSS, GA 30071-1868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207ZC0006X
Clinical Pathology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/26/2025
Last updated
04/17/2026
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