Provider Demographics
NPI:1659049989
Name:TBC ONLINECARE
Entity Type:Organization
Organization Name:TBC ONLINECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TEMITOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKINYELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-310-5934
Mailing Address - Street 1:901 ABERNATHY RD APT 6120
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-2585
Mailing Address - Country:US
Mailing Address - Phone:678-310-5934
Mailing Address - Fax:
Practice Address - Street 1:901 ABERNATHY RD APT 6120
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-2585
Practice Address - Country:US
Practice Address - Phone:678-310-5934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty
No342000000XTransportation ServicesTransportation Network Company
No347C00000XTransportation ServicesPrivate Vehicle