institution
Northeast Elite Medical Clinic, Llc
Family Nurse Practitioner in Columbia, South Carolina
NPI 1497322325

Northeast Elite Medical Clinic, Llc is a Family Nurse Practitioner based in Columbia, SC and is specialized in Family. Northeast Elite Medical Clinic, Llc practices in Columbia, SC. The NPI Number for Northeast Elite Medical Clinic, Llc is 1497322325 and holds a License No. (South Carolina).

The current practice location address for Northeast Elite Medical Clinic, Llc is 136-4 Forum Dr, Columbia, SC and can be reached out via phone at 803-836-8679 and via fax at 803-800-2007.

Location: 136-4 Forum Dr, Columbia, SC, 29229
institution
Provider Profile Details
NPI Number
1497322325
Provider Name
Northeast Elite Medical Clinic, Llc
Credential
Provider Entity Type
Organization
Address
136-4 Forum Dr, Columbia, SC, 29229
Phone Number
803-836-8679
Fax Number
803-800-2007
Provider Enumeration Date
06/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
136-4 Forum Dr
City
State
Zip
29229
Phone Number
803-836-8679
Fax Number
803-800-2007
person
Provider Business Mailing Address Details
Address
136-4 Forum Dr
City
State
Zip
29229
Phone Number
803-836-8679
Fax Number
803-800-2007
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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