Elite Care Internal Medicine Pc | |
1240 Upper Hembree Rd Ste D Roswell GA 30076-0914 | |
(770) 667-0810 | |
(678) 288-7942 |
Full Name | Elite Care Internal Medicine Pc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1240 Upper Hembree Rd, Roswell, Georgia |
Authorized Official Name and Position | Priya Choyan Palliyil (MD) |
Authorized Official Contact | 7706670810 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elite Care Internal Medicine Pc 1240 Upper Hembree Rd Ste D Roswell GA 30076-0914 Ph: (770) 667-0810 | Elite Care Internal Medicine Pc 1240 Upper Hembree Rd Ste D Roswell GA 30076-0914 Ph: (770) 667-0810 |
NPI Number | 1235433418 |
---|---|
Provider Enumeration Date | 01/03/2011 |
Last Update Date | 03/29/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235433418 | NPI | - | NPPES |
385314069A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 053869 (Georgia) | Primary |
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