NPI 1538752084
Elite Health Clinic, LLC
Practice location
- Address
- 428 Courthouse Rd STE B, Gulfport, MS 39507-1868
- Phone
- (228) 207-0408
- Fax
- (228) 207-0409
Authorised official
- Name
- Crystal D. Heathington
- Title
- Np/Owner
- Phone
- (228) 207-0408
Registered specialties
Women's Health Clinical Nurse Specialist
Primary
Registry record
- NPI
- 1538752084
- Entity type
- Organization
- NPI issued
- 16 Feb 2021
- Record last updated
- 16 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.