Provider Demographics
NPI:1215182977
Name:UNLIMITED MEDICAL SOLUTIONS, INC.
Entity Type:Organization
Organization Name:UNLIMITED MEDICAL SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THEOPHOLIEUS
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:WORRELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:404-207-6294
Mailing Address - Street 1:PO BOX 4355
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30061-4355
Mailing Address - Country:US
Mailing Address - Phone:404-207-6294
Mailing Address - Fax:
Practice Address - Street 1:3200 RIVERSIDE DR BLDG B
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-2550
Practice Address - Country:US
Practice Address - Phone:404-207-6294
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-22
Last Update Date:2008-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty