NPI 1639549504

Elite Spectrum Care

Organisation Exclusive Provider Organization Atlanta, GA

Practice location

Address: 3535 Peachtree Rd NE STE 520-230, Atlanta, GA 30326-3287
Phone: (678) 249-5229

Authorised official

Name: Lakeshia Wells
Title: Owner
Phone: (678) 249-5229

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Georgia →

Registry record

NPI: 1639549504
Entity type: Organization
NPI issued: 4 Oct 2015
Record last updated: 23 Aug 2016

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.