# TELE DOCTOR DIRECT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851840961
- **Authorized official:** MS. KATIE CLANCY (SECRETARY)
- **Authorized official phone:** (617) 513-1085

## Contact information

- **Practice address:** 1250 POWERS FERRY CMN SE, SUITE 100, MARIETTA, GA 30067-6046
- **Practice address phone:** (844) 329-6100
- **Mailing address:** 101 S REID ST, SUITE 307, SIOUX FALLS, SD 57103-7030
- **Mailing address phone:** (844) 329-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2016
- **Last updated:** 09/30/2016