Organization
ELITE MEDICAL SUPPLIES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HANNA-SOWELL (CEO)
(704) 277-2100
Entity
Organization
Contact information
Practice address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(980) 710-8232
(980) 206-4711
Mailing address
2301 POWATAN CT, CHARLOTTE, NC 28269-7929
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
01/21/2026
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