Healthcare Provider Details

I. General information

NPI: 1598717878
Provider Name (Legal Business Name): TRILOGY INTEGRATED HEALTH CARE, INC. OF GEORGIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2367 CHATTANOOGA VALLEY RD
FLINTSTONE GA
30725-2035
US

IV. Provider business mailing address

3049 STONE BRIDGE RD
ANTIOCH TN
37013-1285
US

V. Phone/Fax

Practice location:
  • Phone: 706-820-1264
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROCHELL PIERCE
Title or Position: CEO
Credential:
Phone: 615-585-6894