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General NPI Number Information
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NPI Number | 1851213037
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Entity Type | Organization
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Legal Business Name | TOMCZYK MEDICINE, LLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 3193 HOWELL MILL RD NW STE 329
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City | ATLANTA
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State | GA
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Zip | 30327-2100
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Country | US
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Telephone | 404-352-4210
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Fax | 404-352-5868
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Provider Business Mailing Address
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Address Line | 194 HIATUS CT
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City | RIDGELAND
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State | SC
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Zip | 29936-9717
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Country | US
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Telephone | 814-440-7321
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KENNETH TOMCZYK
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Credential | DO
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Telephone | 814-440-7321
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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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