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NPI Code Detail

MEDICARE: FIVE-T DRUG & ALOCHOL TESTING LLC

MEDICARE: FIVE-T DRUG & ALOCHOL TESTING LLC
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
1246X00000XCardiovascular Specialist/Technologist

General Provider Information

NPI Number : 1346188950
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIVE-T DRUG & ALOCHOL TESTING LLC
Provider Business Mailing Address
First Line : 1776 N JEFFERSON ST NE
Second Line :
City : MILLEDGEVILLE
State : GA
Zip : 31061-2229
Country : US
Telephone Number : 478-412-1992
Fax Number :
Provider Business Practice Location Address
First Line : 1776 N JEFFERSON ST NE
Second Line :
City : MILLEDGEVILLE
State : GA
Zip : 31061-2229
Country : US
Telephone Number : 478-412-1992
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. TITUS BUNDRAGE SR.
Credential : BUNDRAGE
Telephone Number : 478-412-1992
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “FIVE-T DRUG & ALOCHOL TESTING LLC ” Practice Location

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