Provider Demographics
NPI:1710439864
Name:TANGENT MEDICAL STAFFING SOLUTIONS LLC
Entity Type:Organization
Organization Name:TANGENT MEDICAL STAFFING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:O
Authorized Official - Last Name:ODOFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-409-0577
Mailing Address - Street 1:6345 LAKE VALLEY PT
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-3268
Mailing Address - Country:US
Mailing Address - Phone:770-559-5195
Mailing Address - Fax:678-606-5572
Practice Address - Street 1:6345 LAKE VALLEY PT
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-3268
Practice Address - Country:US
Practice Address - Phone:770-559-5195
Practice Address - Fax:678-606-5572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA044-R-1543251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health