Organization
TBI3 GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA RUTLEDGE (COO)
(936) 648-5161
Entity
Organization
Contact information
Practice address
4319 COVINGTON HIGHWAY DECATUR, STE 209, DECATUR, GA 30035
(678) 977-1792
Mailing address
300 COLONIAL CENTER PKWY STE 100, ROSWELL, GA 30076-4892
(936) 648-5161
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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