Organization
ELITE PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK T KARL DO (OWNER/PHYSICIAN)
(912) 530-7516
Entity
Organization
Contact information
Practice address
1907 SUNSET BLVD, JESUP, GA 31545-7813
(912) 530-7516
(912) 559-6191
Mailing address
186 S MACON ST, JESUP, GA 31545-1117
(912) 530-7516
(912) 350-7517
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
62371
GA
Other
Enumeration date
07/31/2018
Last updated
09/19/2019
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