| Elite Care Internal Medicine Pc | |
|
1240 Upper Hembree Rd Ste D Roswell GA 30076-0914 | |
| (770) 667-0810 | |
| (678) 288-7942 |
| Full Name | Elite Care Internal Medicine Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1240 Upper Hembree Rd, Roswell, Georgia |
| Authorized Official Name and Position | Priya Choyan Palliyil (MD) |
| Authorized Official Contact | 7706670810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Care Internal Medicine Pc 1240 Upper Hembree Rd Ste D Roswell GA 30076-0914 Ph: (770) 667-0810 | Elite Care Internal Medicine Pc 1240 Upper Hembree Rd Ste D Roswell GA 30076-0914 Ph: (770) 667-0810 |
| NPI Number | 1235433418 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 03/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235433418 | NPI | - | NPPES |
| 385314069A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 053869 (Georgia) | Primary |
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