Organization
TALLULAH TRAIL MEDICAL ASSOCIATES, LLC
Active
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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