Organization
ELITE CARE FAMILY PRACTICE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PILAR LYAS NP (CO OWNER/NP)
(601) 467-0542
Entity
Organization
Contact information
Practice address
314 S 25TH AVE, HATTIESBURG, MS 39401-7301
(601) 255-8808
(866) 531-8054
Mailing address
314 S 25TH AVE, HATTIESBURG, MS 39401-7301
(601) 255-8808
(601) 255-8811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
12/19/2024
Last updated
05/22/2025
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