Provider Demographics
NPI:1093604639
Name:TC MEDICALS LLC
Entity type:Organization
Organization Name:TC MEDICALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TUFUOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:347-278-3693
Mailing Address - Street 1:3520 LAKE MONROE RD
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-2814
Mailing Address - Country:US
Mailing Address - Phone:347-278-3693
Mailing Address - Fax:
Practice Address - Street 1:3520 LAKE MONROE RD
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-2814
Practice Address - Country:US
Practice Address - Phone:347-278-3693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health