Provider Demographics
NPI:1295581742
Name:EXCELSIOR MEDICAL BILLING & SERVICES LLC
Entity type:Organization
Organization Name:EXCELSIOR MEDICAL BILLING & SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELBUNIE
Authorized Official - Middle Name:TRANICE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:478-273-0025
Mailing Address - Street 1:107 RODNEY DR
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-2420
Mailing Address - Country:US
Mailing Address - Phone:478-273-0025
Mailing Address - Fax:404-521-4299
Practice Address - Street 1:107 RODNEY DR
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-2420
Practice Address - Country:US
Practice Address - Phone:478-273-0025
Practice Address - Fax:404-521-4299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty