| Elite Health Care, Inc. | |
|
1719 Russell Pkwy Bldg. 700 Warner Robins GA 31088-5763 | |
| (478) 328-7674 | |
| (478) 328-1393 |
| Full Name | Elite Health Care, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1719 Russell Pkwy, Warner Robins, Georgia |
| Authorized Official Name and Position | Natasha A Gardner (PRACTICE MANAGER) |
| Authorized Official Contact | 4783287674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Health Care, Inc. 1719 Russell Pkwy Bldg 700 Warner Robins GA 31088-5763 Ph: (478) 328-7674 | Elite Health Care, Inc. 1719 Russell Pkwy Bldg. 700 Warner Robins GA 31088-5763 Ph: (478) 328-7674 |
| NPI Number | 1093726416 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093726416 | NPI | - | NPPES |
| 000370191A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Georgia) | Primary |
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