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NPI Code Detail

MEDICARE: TOCCOA CLINIC MEDICAL ASSOC

MEDICARE: TOCCOA CLINIC MEDICAL ASSOC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10835590002OTHERGAMEDICARE DME SUPPLIER NUM

General Provider Information

NPI Number : 1568662245
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOCCOA CLINIC MEDICAL ASSOC
Provider Business Mailing Address
First Line : PO BOX 2153
Second Line : DEPT 3423
City : BIRMINGHAM
State : AL
Zip : 35287-3423
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 58 BIG A ROAD
Second Line :
City : TOCCOA
State : GA
Zip : 30577-6000
Country : US
Telephone Number : 706-886-3148
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF BUSINESS
Name : MR. RAY BRUELAND
Credential :
Telephone Number : 706-886-7537
Provider Enumeration Date : 07/20/2007
Last Update Date : 11/17/2022

Similar Medicare Providers

1871748491 — ROBERT STEVEN KIRBY NP-C
Practice Location Address:
58 BIG A ROAD
TOCCOA, GA
30577-6000
Practice Phone: 706-886-3148
Practice Fax:
1104819218 — MICHAEL L MALEY MD
Practice Location Address:
58 BIG A ROAD
TOCCOA, GA
30577-6000
Practice Phone: 706-886-8419
Practice Fax: 706-827-5083
1588658330 — WILLIAM A MILLS MD
Practice Location Address:
58 BIG A ROAD
TOCCOA, GA
30577-6000
Practice Phone: 706-886-3169
Practice Fax:
1700876695 — SHANNON G SHULER MS,FNP,CEN
Practice Location Address:
58 BIG A ROAD
TOCCOA, GA
30577-6000
Practice Phone: 706-886-3148
Practice Fax: 706-886-2945
1609896885 — TOCCOA CLINIC MEDICAL ASSOCIATES, LLP
Practice Location Address:
58 BIG A RD
TOCCOA, GA
30577-6000
Practice Phone: 706-886-3148
Practice Fax:
1649443698 — BARBARA HILTON ARNOLD LCSW
Practice Location Address:
58 BIG A ROAD
TOCCOA, GA
30577-6000
Practice Phone: 706-886-8419
Practice Fax: 706-282-5286

Directions to “TOCCOA CLINIC MEDICAL ASSOC ” Practice Location

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