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Contact Information

MEDICAL ELITE NETWORK CORP
3277 SUMMIT GLEN DR
LOGANVILLE, GA30052-5398
 Phone: 404-771-8543
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MEDICAL ELITE NETWORK CORP

NPI Number 1346956786
LBN Legal business name MEDICAL ELITE NETWORK CORP
Authorized official BRIOUNA RICHARDS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2023
Last updated 01/30/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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