Elite IV Hydration and Wellness
Elite IV Hydration and Wellness is a Clinic/Center in McDonough, Georgia. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
823 Pavilion CtMcDonough, GA 30253-6666
Phone: (404) 965-5715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Clinical Medical Laboratory | Taxonomy 291U00000X |
Record details
| NPI number | 1730843202 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tanika Powell — Nurse Practitioner/Owner · (706) 399-4601 |
| NPI enumerated | October 29, 2021 |
| Last updated in NPPES | June 30, 2023 |
| Certification date | June 30, 2023 |
| Mailing address | 5916 East Lake Pkwy, Suite 324, McDonough, GA 30253 |
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