Organization
TECH MEDICAL CENTER, LLC
Active
Other names
Ela Doc Tree
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE MIGUEL LOPEZ M.D. (PRESIDENT)
(646) 462-9251
Entity
Organization
Contact information
Practice address
605 CHURCH ST, SUITE A, WAYCROSS, GA 31501-3599
(912) 387-2389
(912) 712-1106
Mailing address
605 CHURCH ST, SUITE A, WAYCROSS, GA 31501-3599
(912) 387-2389
(912) 712-1106
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2016
Last updated
01/25/2017
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