Organization
TRI COUNTY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT H DEPOL D.C. (OWNER)
(678) 990-0510
Entity
Organization
Contact information
Practice address
1775 WOODSTOCK RD, SUITE 110, ROSWELL, GA 30075-2171
(678) 990-0510
(678) 990-0521
Mailing address
1775 WOODSTOCK RD, SUITE 110, ROSWELL, GA 30075-2171
(678) 990-0510
(678) 990-0521
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
08/22/2020
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