TRI-STATE TELEMED LLC NPI 1093180903

NPI Information

TRI-STATE TELEMED LLC is a general practice in South Point, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee TRI-STATE TELEMED LLC NPI is 1093180903. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

178 PRIVATE ROAD 19423
SOUTH POINT, OH
ZIP 45680-831
Phone: (304) 208-5978

The provider's authorized official is Shannon Maxey .
The authorized official title is Medical Director and has the following contact phone number (304) 208-5978.

The enumeration date for this NPI number is 12/2/2015 and was last updated on 12/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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