Organization
ELITE HEALTHCARE GROUP PC
Active
Other names
Pain Relief and Wellness Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. APRIL BEASLEY (OFFICE MANAGER)
(731) 286-2467
Entity
Organization
Contact information
Practice address
1335 FLOWERING DOGWOOD LN, DYERSBURG, TN 38024-2890
(731) 286-2467
(731) 286-1178
Mailing address
1335 FLOWERING DOGWOOD LN, DYERSBURG, TN 38024-2890
(731) 286-2467
(731) 286-1178
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6480900001
MEDICARE PTAN
TN
Enumeration date
05/03/2011
Last updated
05/03/2011
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