| Elite Medical Center, Llc | |
|
114 Canal St Ste 201 Pooler GA 31322-4260 | |
| (912) 988-3839 | |
| Not Available |
| Full Name | Elite Medical Center, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 114 Canal St Ste 201, Pooler, Georgia |
| Authorized Official Name and Position | David A Jackson (PRESIDENT/OWNER) |
| Authorized Official Contact | 9129883839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Medical Center, Llc 114 Canal St Ste 201 Pooler GA 31322-4260 Ph: (912) 988-3839 | Elite Medical Center, Llc 114 Canal St Ste 201 Pooler GA 31322-4260 Ph: (912) 988-3839 |
| NPI Number | 1982207437 |
|---|---|
| Provider Enumeration Date | 11/18/2020 |
| Last Update Date | 11/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982207437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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