Organization
HITECH HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY TODD TYSON BS,RRT (PRESIDENT)
(770) 449-6785
Entity
Organization
Contact information
Practice address
1805 SHACKLEFORD CT, SUITE 100, NORCROSS, GA 30093-7001
(770) 449-6785
(770) 449-0648
Mailing address
1805 SHACKLEFORD CT, SUITE 100, NORCROSS, GA 30093-7001
(770) 449-6785
(770) 449-0648
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00428678A
—
GA
Enumeration date
09/29/2005
Last updated
09/27/2011
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