Elite Practice Management | |
7185 Crape Myrtle Dr Olive Branch MS 38654-1971 | |
(662) 314-3585 | |
(662) 346-5438 |
Full Name | Elite Practice Management |
---|---|
Speciality | Dentist |
Location | 7185 Crape Myrtle Dr, Olive Branch, Mississippi |
Authorized Official Name and Position | Kimberly Avant (PRACTICE MANAGER) |
Authorized Official Contact | 6623143585 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elite Practice Management 7185 Crape Myrtle Dr Olive Branch MS 38654-1971 Ph: () - | Elite Practice Management 7185 Crape Myrtle Dr Olive Branch MS 38654-1971 Ph: (662) 314-3585 |
NPI Number | 1124630462 |
---|---|
Provider Enumeration Date | 08/18/2020 |
Last Update Date | 08/18/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124630462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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