| Trilogy Wingard Center LLC | |
|
510 Swanson Rd Tyrone GA 30290-6900 | |
| (770) 964-5230 | |
| (770) 964-5260 |
| Full Name | Trilogy Wingard Center LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 510 Swanson Rd, Tyrone, Georgia |
| Authorized Official Name and Position | Aicha Stoman (BILLING) |
| Authorized Official Contact | 7709645230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trilogy Wingard Center LLC 510 Swanson Rd Tyrone GA 30290-6900 Ph: (770) 964-5230 | Trilogy Wingard Center LLC 510 Swanson Rd Tyrone GA 30290-6900 Ph: (770) 964-5230 |
| NPI Number | 1497504310 |
|---|---|
| Provider Enumeration Date | 05/14/2024 |
| Last Update Date | 05/14/2024 |
| Certification Date | 05/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497504310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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