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Organization

TJ HOLDINGS, LLC

Active
Other names
PRIUM
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAMELLA THOMAS M.D. (MEDICAL DIRECTOR)
(678) 735-7333
Entity
Organization

Contact information

Practice address
2805 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30097-8169
(678) 735-7329
(678) 735-7329
Mailing address
PO BOX 190, DULUTH, GA 30096-0004
(678) 735-7329
(678) 735-7329

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
02/21/2014
Last updated
02/21/2014
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