Provider Demographics
NPI:1689813396
Name:3T MEDICAL SERVICES
Entity Type:Organization
Organization Name:3T MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:O
Authorized Official - Last Name:AKINBODE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-913-4754
Mailing Address - Street 1:1966 PATTERSON CIR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-4568
Mailing Address - Country:US
Mailing Address - Phone:678-913-4754
Mailing Address - Fax:
Practice Address - Street 1:1966 PATTERSON CIR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-4568
Practice Address - Country:US
Practice Address - Phone:678-913-4754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2008024759251J00000X
N/A253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care