National Provider Identifier Database

ELITE FAMILY PRACTICE
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

ELITE FAMILY PRACTICE
6126 PRESTLEY MILL RD
SUITE H
DOUGLASVILLE, GA30134-5623
Phone: 678-715-2993
Fax: 678-715-2827
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for ELITE FAMILY PRACTICE

NPI Number 1710236880
Legal business name
LBN
ELITE FAMILY PRACTICE
Authorized official DELANIA MILES - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 09/05/2012
Last updated 09/05/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 041745

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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