Organization
ELITE CARE DME,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WILSON JR. (PRESIDENT)
(912) 293-7573
Entity
Organization
Contact information
Practice address
123 S. MAIN ST., REIDSVILLE, GA 30453
(912) 557-1084
(912) 557-1086
Mailing address
123 S. MAIN ST. P.O. BOX 2386, REIDSVILLE, GA 30453
(912) 557-1084
(912) 557-1086
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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