Provider Demographics
NPI:1215371919
Name:TSO NETWORK, INC
Entity type:Organization
Organization Name:TSO NETWORK, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:HATCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:229-449-9455
Mailing Address - Street 1:2711 ASTORIA DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-4301
Mailing Address - Country:US
Mailing Address - Phone:229-449-9455
Mailing Address - Fax:
Practice Address - Street 1:2711 ASTORIA DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-4301
Practice Address - Country:US
Practice Address - Phone:229-449-9455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-24
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management