Organization
TOCCOA CLINIC MEDICAL ASSOC
Active
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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