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TELE DOCTOR DIRECT INC NPI 1851840961


NPI Information

NPI: 1851840961
Provider Name: TELE DOCTOR DIRECT INC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
1250 POWERS FERRY CMN SE
SUITE 100
MARIETTA, GA
ZIP 30067
Phone: (844) 329-6100
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TELE DOCTOR DIRECT INC is a medical specialty clinic center in Marietta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). TELE DOCTOR DIRECT INC NPI is 1851840961. The provider is registered as an organization entity type.

The provider's business location address is:

1250 POWERS FERRY CMN SE
SUITE 100
MARIETTA, GA
ZIP 30067-046
Phone: (844) 329-6100

The provider's authorized official is Katie Clancy .
The authorized official title is Secretary and has the following contact phone number (617) 513-1085.

The enumeration date for this NPI number is 9/30/2016 and was last updated on 9/30/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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