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NPI Profile for ELITE HEALTHCARE PHYSICAL MEDICINE in CARROLLTON, GA.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Rehabilitation |
111NR0400X | 35 | Chiropractic |
| NPI # | 1669736120 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/29/2012 | |
| Last updated | 06/29/2012 - About 14 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ELITE HEALTHCARE PHYSICAL MEDICINE
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ELITE HEALTHCARE PHYSICAL MEDICINE