| T&m Special Carem Llc | |
|
1947 Lown Farm Trl Lithonia GA 30058-8958 | |
| (770) 873-0988 | |
| Not Available |
| Full Name | T&m Special Carem Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1947 Lown Farm Trl, Lithonia, Georgia |
| Authorized Official Name and Position | Doricia Thompson (ADMINISTRATOR) |
| Authorized Official Contact | 7708730988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T&m Special Carem Llc 1947 Lown Farm Trl Lithonia GA 30058-8958 Ph: () - | T&m Special Carem Llc 1947 Lown Farm Trl Lithonia GA 30058-8958 Ph: (770) 873-0988 |
| NPI Number | 1043572761 |
|---|---|
| Provider Enumeration Date | 06/08/2012 |
| Last Update Date | 06/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043572761 | NPI | - | NPPES |
| 597996556H | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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