Organization
ELITE MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A JACKSON (PRESIDENT/OWNER)
(912) 988-3839
Entity
Organization
Contact information
Practice address
114 CANAL ST STE 201, POOLER, GA 31322-4260
(912) 988-3839
Mailing address
114 CANAL ST STE 201, POOLER, GA 31322-4260
(912) 988-3839
(912) 988-3839
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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