MEDICARE: VISION MEDICAL CONSULTING, P.C.

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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1699496521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION MEDICAL CONSULTING, P.C.

Provider Business Mailing Address
First Line	:	3715 NORTHSIDE PKWY NW STE 2-100
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-2809
Country	:	US
Telephone Number	:	770-938-1757
Fax Number	:	770-938-1759

Provider Business Practice Location Address
First Line	:	3715 NORTHSIDE PKWY NW STE 2-100
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-2809
Country	:	US
Telephone Number	:	770-938-1757
Fax Number	:	770-938-1759

Authorized Official
Title or Position	:	CEO/PHYSICIAN
Name	:	DR. TERENCE ANDREW FRINKS
Credential	:	M.D.
Telephone Number	:	770-938-1757

Provider Enumeration Date	:	09/08/2022
Last Update Date	:	09/08/2022

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