Organization
ELITE MEDICAL ASSOCIATES LLC
Active
Other names
ELITE MEDICAL ASSOCIATES LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER PENROD (BILLER)
(305) 900-4715
Entity
Organization
Contact information
Practice address
6290 MCDONOUGH DR STE D2, NORCROSS, GA 30093-1203
(770) 870-9481
Mailing address
6290 MCDONOUGH DR STE D2, NORCROSS, GA 30093-1203
(770) 870-9481
(512) 532-0923
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
04/28/2021
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