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Organization

ELITE PRIMARY CARE LLC

Active
Other names
Elite Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLO L PIKE DO (MANAGING PARTNER)
(931) 245-1701
Entity
Organization

Contact information

Practice address
2690 MADISON ST, SUITE 130, CLARKSVILLE, TN 37043-5975
(931) 245-1701
(931) 245-1720
Mailing address
2690 MADISON STREET, SUITE 130, CLARKSVILLE, TN 37043-0000
(931) 245-1701
(931) 245-1720

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2297
TN
207Q00000X
Family Medicine Physician
Primary
DO1638
TN
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
02/28/2013
Last updated
06/02/2015
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