MEDICARE: ELEVATE HEALTH CLINICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1104683119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELEVATE HEALTH CLINICS LLC

Provider Business Mailing Address
First Line	:	4463 TOWNE LAKE PKWY STE 200
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30189-8230
Country	:	US
Telephone Number	:	770-633-5190
Fax Number	:

Provider Business Practice Location Address
First Line	:	4463 TOWNE LAKE PKWY STE 200
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30189-8230
Country	:	US
Telephone Number	:	770-633-5190
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID G LEE
Credential	:
Telephone Number	:	770-633-5190

Provider Enumeration Date	:	03/05/2024
Last Update Date	:	07/11/2025

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Directions to “ELEVATE HEALTH CLINICS LLC ” Practice Location

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