Organization
TRILLIUM HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK HAIRE JR. (MANAGER)
(770) 531-7721
Entity
Organization
Contact information
Practice address
4221 TALL HICKORY TRL, GAINESVILLE, GA 30506-3096
(770) 531-7721
Mailing address
4221 TALL HICKORY TRL, GAINESVILLE, GA 30506-3096
(770) 531-7721
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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