| NPI | 1679089296 |
|---|---|
| Doing Business As | ELITE FAMILY MEDICINE |
| Doing Business As | REVEAL BREAST IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | SUSAN WHITE CEO 706-457-4781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2024-01-25 |