Organization Name: | TRANSITIONAL CARE PHYSICIANS OF GEORGIA PC |
NPI Number: | 1619317542 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMAR V MOHAN (MANAGING DIRECTOR) |
Mailing Address: | 704 Breedlove Dr Ste A Monroe |
State: | GA US |
Postal Code: | 306552054 |
Phone Number: | 8887720076 |
Fax Number: | 7707518014 |
NPI Enumeration Date: | 06/25/2013 |
NPI Last Update Date: | 12/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 66531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |