Healthcare Provider Details

I. General information

NPI: 1841136967
Provider Name (Legal Business Name): TECS GA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1212 BROADRICK DR
DALTON GA
30720-2503
US

IV. Provider business mailing address

18312 MIDDLEBELT RD
LIVONIA MI
48152-5007
US

V. Phone/Fax

Practice location:
  • Phone: 706-270-8008
  • Fax:
Mailing address:
  • Phone: 224-777-8045
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ELMER PINZON
Title or Position: PRESIDENT
Credential: MD
Phone: 224-777-8045