Organization
TREE OF LIFE HEALTH ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH D DELIMA MD (PHYSICIAN/OWNER)
(770) 267-2790
Entity
Organization
Contact information
Practice address
333 ALCOVY ST STE 10, MONROE, GA 30655-2180
(770) 267-2790
(770) 207-0652
Mailing address
PO BOX 925, MONROE, GA 30655-0925
(770) 267-2790
(770) 207-0652
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
028528
GA
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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