Organization
TECH MEDICAL CENTER, LLC
Active
Parent organization
TECH MEDICAL CENTER, LLC
Other names
Ela Doc Tree
Organization subpart
Yes
Provider details
NPI number
Legal business name
TECH MEDICAL CENTER, LLC
Authorized official
DR. JOSE MIGUEL LOPEZ M.D. (OWNER/MEDICAL DIRECTOR)
(646) 462-9251
Entity
Organization
Contact information
Practice address
416 E 3RD AVE, CORDELE, GA 31015-3605
(813) 724-3204
(585) 433-5039
Mailing address
416 E 3RD AVE, CORDELE, GA 31015-3605
(813) 724-3204
(585) 433-5039
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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