1104062355 NPI number — ELITE STAFFING GROUP FOR SURGICAL NURSES, LLC.

Table of content: (NPI 1104062355)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104062355 NPI number — ELITE STAFFING GROUP FOR SURGICAL NURSES, LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ELITE STAFFING GROUP FOR SURGICAL NURSES, LLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104062355
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8376 CARLINGTON LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JONESBORO
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30236-3769
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-936-4936
Provider Business Mailing Address Fax Number:
770-252-1102

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 W LANIER AVE
Provider Second Line Business Practice Location Address:
SUITE 606A
Provider Business Practice Location Address City Name:
FAYETTEVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30214-7636
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-573-1876
Provider Business Practice Location Address Fax Number:
770-252-1102
Provider Enumeration Date:
12/17/2008

Additional Information

Authorized Official

Authorized Official Last Name:
RAINEY
Authorized Official First Name:
VANESSA
Authorized Official Middle Name:
J
Authorized Official Title or Position:
CO-OWNER
Authorized Official Telephone Number:
770-783-1200

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X , with the licence number:  132138LGB , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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