Organization
ABSOLUTECARE, LLC
Active
Other names
AbsoluteCare, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J TRENTLY JR. (CFO)
(437) 380-2814
Entity
Organization
Contact information
Practice address
2140 PEACHTREE ROAD, SUITE 232, ATLANTA, GA 30309
(404) 231-4431
(404) 231-5677
Mailing address
2140 PEACHTREE ROAD, SUITE 232, ATLANTA, GA 30309
(404) 231-4431
(404) 231-5677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
060615
GA
207Q00000X
Family Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
032036
GA
207RI0200X
Infectious Disease Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
044-156
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085002644G
—
GA
01
—
11D0978763
CLIA
GA
05
—
300015856A
—
GA
Enumeration date
03/07/2007
Last updated
02/01/2021
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