Elite Medical Clinic, Llc | |
1204 Ocilla Rd Douglas GA 31533-2220 | |
(912) 393-5120 | |
Not Available |
Full Name | Elite Medical Clinic, Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 1204 Ocilla Rd, Douglas, Georgia |
Authorized Official Name and Position | Teresa Wilson (OWNER) |
Authorized Official Contact | 9123935120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elite Medical Clinic, Llc 1204 Ocilla Rd Douglas GA 31533-2220 Ph: (912) 393-5120 | Elite Medical Clinic, Llc 1204 Ocilla Rd Douglas GA 31533-2220 Ph: (912) 393-5120 |
NPI Number | 1407505142 |
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Provider Enumeration Date | 03/21/2022 |
Last Update Date | 03/21/2022 |
Identifier | Type | State | Issuer |
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1407505142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Coffee Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr, Ste 224, Douglas, GA 31533 Phone: 912-384-2353 | |
Abigail Miller Family Medicine Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Shirley Ave, Douglas, GA 31533 Phone: 912-384-7300 | |
Douglas Medical Specialist Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Doctors Dr Ste 106, Douglas, GA 31533 Phone: 912-384-3338 Fax: 912-383-6365 | |
Coffee Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr, Suite 224, Douglas, GA 31533 Phone: 912-384-2353 |