MEDICARE: TEN MED 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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1588179592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEN MED LLC

Provider Business Mailing Address
First Line	:	5281 VERNON SPRINGS TRL
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-4511
Country	:	US
Telephone Number	:	770-982-2331
Fax Number	:	770-972-4104

Provider Business Practice Location Address
First Line	:	5673 PEACHTREE DUNWOODY RD STE 320
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1805
Country	:	US
Telephone Number	:	404-855-5660
Fax Number	:	404-855-5696

Authorized Official
Title or Position	:	DOCTOR
Name	:	TISHA TIPNIS
Credential	:
Telephone Number	:	678-907-3242

Provider Enumeration Date	:	12/13/2017
Last Update Date	:	09/22/2022

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Directions to “TEN MED LLC ” Practice Location

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