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General NPI Number Information
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NPI Number | 1245833359
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Entity Type | Organization
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Legal Business Name | TELMED2, INC
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Dates
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Enumeration Date | 11/19/2020
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 1675 CHEVRON WAY
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-4431
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Country | US
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Telephone | 229-220-5674
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Fax |
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Provider Business Mailing Address
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Address Line | 2090 DUNWOODY CLUB DR STE 106-225
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City | ATLANTA
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State | GA
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Zip | 30350-5434
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Country | US
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Telephone | 229-220-5674
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Fax |
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Authorized Official
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Title or Position | COO
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Name | DR. WINSTON PRICE
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Credential | MD
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Telephone | 229-220-5674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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