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Elite Medical, Pllc
Clinic/Center in Tupelo, Mississippi
NPI 1871887661

Elite Medical, Pllc is a Clinic/Center based in Tupelo, MS. Elite Medical, Pllc practices in Tupelo, MS. The NPI Number for Elite Medical, Pllc is 1871887661 and holds a License No. 16935 (Mississippi).

The current practice location address for Elite Medical, Pllc is 2633 Traceland Dr, Tupelo, MS and can be reached out via phone at 662-205-4652 and via fax at 662-205-4651.

Location: 2633 Traceland Dr, Tupelo, MS, 38803-2484
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871887661
Provider Name
Elite Medical, Pllc
Credential
Provider Entity Type
Organization
Address
2633 Traceland Dr, Tupelo, MS, 38803-2484
Phone Number
662-205-4652
Fax Number
662-205-4651
Provider Enumeration Date
06/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00126275 05 MS
institution
Provider Business Practice Location Address Details
Address
2633 Traceland Dr
City
Tupelo
State
Mississippi
Zip
38801-4238
Phone Number
662-205-4652
Fax Number
662-205-4651
person
Provider Business Mailing Address Details
Address
2633 Traceland Dr
City
Tupelo
State
Mississippi
Zip
38801-4238
Phone Number
662-205-4652
Fax Number
662-205-4651
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
16935 (Mississippi)
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).
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