NORTHEAST ELITE MEDICAL CLINIC, LLC is a family nurse practitioner in Columbia, SC. NORTHEAST ELITE MEDICAL CLINIC, LLC NPI is 1497322325. The provider is registered as an organization entity type.
The provider's business location address is:
136-4 FORUM DR
1018
COLUMBIA, SC
ZIP 29229
Phone: (803) 836-8679
Fax: (803) 800-2007
The provider's authorized official is Paulette Rumph .
The authorized official title is Ceo and has the following contact phone number (803) 836-8679.
The CLIA number assigned to this NPI record is 42D2214903 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/9/2021 and was last updated on 6/9/2021.