| Tech Medical Center, Llc | |
|
605 Church St Suite A Waycross GA 31501-3599 | |
| (912) 387-2389 | |
| (912) 712-1106 |
| Full Name | Tech Medical Center, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 605 Church St, Waycross, Georgia |
| Authorized Official Name and Position | Jose Miguel Lopez (PRESIDENT) |
| Authorized Official Contact | 6464629251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tech Medical Center, Llc 605 Church St Suite A Waycross GA 31501-3599 Ph: (912) 387-2389 | Tech Medical Center, Llc 605 Church St Suite A Waycross GA 31501-3599 Ph: (912) 387-2389 |
| NPI Number | 1992252720 |
|---|---|
| Provider Enumeration Date | 09/09/2016 |
| Last Update Date | 01/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992252720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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