Organization Name: | TEAM INVESTMENTS |
NPI Number: | 1316080526 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM V TILLERY (PHYSICAN) |
Mailing Address: | 1306 Troupe St Augusta |
State: | GA US |
Postal Code: | 309044755 |
Phone Number: | 7067336634 |
Fax Number: | 7067336414 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 2007#016314 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |