Provider Demographics
NPI:1588179592
Name:TEN MED LLC
Entity Type:Organization
Organization Name:TEN MED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:TISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:TIPNIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-907-3242
Mailing Address - Street 1:5281 VERNON SPRINGS TRL
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-4511
Mailing Address - Country:US
Mailing Address - Phone:770-982-2331
Mailing Address - Fax:770-972-4104
Practice Address - Street 1:5673 PEACHTREE DUNWOODY RD STE 320
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1805
Practice Address - Country:US
Practice Address - Phone:404-855-5660
Practice Address - Fax:404-855-5696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-13
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty