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Organization

TOCCOA CLINIC MEDICAL ASSOC

Active
Parent organization
TOCCOA CLINIC MEDICAL ASSOCIATES, LLP
Organization subpart
Yes

Provider details

NPI number
Legal business name
TOCCOA CLINIC MEDICAL ASSOCIATES, LLP
Authorized official
MR. RAY BRUELAND (DIRECTOR OF BUSINESS)
(706) 886-7537
Entity
Organization

Contact information

Practice address
58 BIG A ROAD, TOCCOA, GA 30577-6000
(706) 886-3148
Mailing address
PO BOX 2153, DEPT 3423, BIRMINGHAM, AL 35287-3423

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0835590002
MEDICARE DME SUPPLIER NUM
GA
Enumeration date
07/20/2007
Last updated
11/17/2022
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