Organization
C3 POWERED BY ABSOLUTECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J TRENTLY (CFO)
(443) 738-0281
Entity
Organization
Contact information
Practice address
36 S PACA ST, BALTIMORE, MD 21201-1735
(410) 328-3117
Mailing address
2140 PEACHTREE RD NW STE 232, ATLANTA, GA 30309-1314
(404) 231-4431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887274100
—
MD
Enumeration date
10/12/2018
Last updated
02/03/2021
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