Elite Family Practice
Elite Family Practice is a Preferred Provider Organization in Douglasville, Georgia. Licensed in Georgia. Registered with an NPI since 2012.
- Licensed in
- GA
- In the registry since
- 2012
Practice location Address checks out
6126 Prestley Mill Rd Ste HDouglasville, GA 30134-5623
Phone: (678) 715-2993
Fax: (678) 715-2827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 041745 (GA) |
|---|
Record details
| NPI number | 1710236880 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Delania Miles — Office Manager · (678) 715-2993 |
| NPI enumerated | September 5, 2012 |
| Last updated in NPPES | September 5, 2012 |
| Mailing address | 6126 Prestley Mill Rd, Suite H, Douglasville, GA 30134-5623 |