Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Medical Clinic, LLC

Organization Multi-Specialty Clinic/Center · NPI 1407505142

Elite Medical Clinic, LLC is a Multi-Specialty Clinic/Center in Douglas, Georgia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1204 Ocilla Rd
Douglas, GA 31533-2220
Phone: (912) 393-5120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1407505142
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Wilson — Owner · (912) 393-5120
NPI enumeratedMarch 21, 2022
Last updated in NPPESMarch 21, 2022
Certification dateMarch 21, 2022
Mailing address1204 Ocilla Rd, Douglas, GA 31533-2220

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