Organization
TELE DOCTOR DIRECT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATIE CLANCY (SECRETARY)
(617) 513-1085
Entity
Organization
Contact information
Practice address
1250 POWERS FERRY CMN SE, SUITE 100, MARIETTA, GA 30067-6046
(844) 329-6100
Mailing address
101 S REID ST, SUITE 307, SIOUX FALLS, SD 57103-7030
(844) 329-6100
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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