| Tbi3 Georgia Llc | |
|
4319 Covington Highway Decatur Ste 209 Decatur GA 30035 | |
| (678) 977-1792 | |
| Not Available |
| Full Name | Tbi3 Georgia Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4319 Covington Highway Decatur, Decatur, Georgia |
| Authorized Official Name and Position | Amanda Rutledge (COO) |
| Authorized Official Contact | 9366485161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tbi3 Georgia Llc 300 Colonial Center Pkwy Ste 100 Roswell GA 30076-4892 Ph: (936) 648-5161 | Tbi3 Georgia Llc 4319 Covington Highway Decatur Ste 209 Decatur GA 30035 Ph: (678) 977-1792 |
| NPI Number | 1649851627 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 04/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649851627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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