| Elite Behavioral Medicine Llc | |
|
1800 Hog Mountain Rd Bldg 100, Ste 103 Watkinsville GA 30677 | |
| (770) 910-2279 | |
| Not Available |
| Full Name | Elite Behavioral Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1800 Hog Mountain Rd, Watkinsville, Georgia |
| Authorized Official Name and Position | Michael Boyd (CEO) |
| Authorized Official Contact | 7709102279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Behavioral Medicine Llc 1800 Hog Mountain Rd Bldg 100, Ste 103 Watkinsville GA 30677 Ph: (706) 410-1033 | Elite Behavioral Medicine Llc 1800 Hog Mountain Rd Bldg 100, Ste 103 Watkinsville GA 30677 Ph: (770) 910-2279 |
| NPI Number | 1932686904 |
|---|---|
| Provider Enumeration Date | 07/23/2018 |
| Last Update Date | 04/09/2024 |
| Medicare PECOS PAC ID | 8224443197 |
|---|---|
| Medicare Enrollment ID | O20210226002362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932686904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 20292 (Georgia) | Primary |
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