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NPI Code Detail

MEDICARE: TOTAL MEDICAL CARE PC

MEDICARE: TOTAL MEDICAL CARE PC
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
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285818351
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL MEDICAL CARE PC
Provider Business Mailing Address
First Line : 1300 PEACHTREE INDUSTRIAL BLVD
Second Line : SUITE 4105
City : SUWANEE
State : GA
Zip : 30024-4539
Country : US
Telephone Number : 678-482-5550
Fax Number : 678-765-6012
Provider Business Practice Location Address
First Line : 1300 PEACHTREE INDUSTRIAL BLVD
Second Line : SUITE 4105
City : SUWANEE
State : GA
Zip : 30024-4539
Country : US
Telephone Number : 678-482-5550
Fax Number : 678-765-6012
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : REKHA SINGH
Credential : M.D.
Telephone Number : 678-482-5550
Provider Enumeration Date : 12/24/2007
Last Update Date : 07/29/2015

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Directions to “TOTAL MEDICAL CARE PC ” Practice Location

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