Tcm - Medical, Pc | |
530 Semira St Sw Atlanta GA 30331-8378 | |
(713) 724-9130 | |
Not Available |
Full Name | Tcm - Medical, Pc |
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Speciality | Family Medicine |
Location | 530 Semira St Sw, Atlanta, Georgia |
Authorized Official Name and Position | Todd Martin (OWNER) |
Authorized Official Contact | 7137249130 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tcm - Medical, Pc 530 Semira St Sw Atlanta GA 30331-8378 Ph: (713) 724-9130 | Tcm - Medical, Pc 530 Semira St Sw Atlanta GA 30331-8378 Ph: (713) 724-9130 |
NPI Number | 1447920798 |
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Provider Enumeration Date | 09/17/2021 |
Last Update Date | 09/17/2021 |
Medicare PECOS PAC ID | 7719385517 |
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Medicare Enrollment ID | O20211008001012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447920798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Todd C Martin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639464936 PECOS PAC ID: 1951572049 Enrollment ID: I20120910000248 |
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