Organization
ELITE BEHAVIORAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOYD PA-C (CEO)
(770) 910-2279
Entity
Organization
Contact information
Practice address
1800 HOG MOUNTAIN RD, BLDG 100, STE 103, WATKINSVILLE, GA 30677
(770) 910-2279
Mailing address
1800 HOG MOUNTAIN RD, BLDG 100, STE 103, WATKINSVILLE, GA 30677
(706) 410-1033
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
20292
GA
Other
Enumeration date
07/23/2018
Last updated
04/09/2024
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