Provider Demographics
NPI:1427679661
Name:T E A M MEDICAL LLC
Entity type:Organization
Organization Name:T E A M MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:L
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-596-2098
Mailing Address - Street 1:3771 MONTICELLO ST
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-7722
Mailing Address - Country:US
Mailing Address - Phone:770-596-2098
Mailing Address - Fax:
Practice Address - Street 1:3771 MONTICELLO ST
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-7722
Practice Address - Country:US
Practice Address - Phone:770-596-2098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:T E A M MEDICAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies