Organization
TALLULAH TRAIL MEDICAL ASSOCIATES, LLC
Active
Other names
Tallulah Trail Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN W KING (PRESIDENT)
(478) 302-5270
Entity
Organization
Contact information
Practice address
644 TALLULAH TRL, WARNER ROBINS, GA 31088-7625
(478) 302-5270
Mailing address
644 TALLULAH TRL, WARNER ROBINS, GA 31088-7625
(478) 302-5270
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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