Provider Demographics
NPI:1134835093
Name:TRILOGY GLOBAL HEALTHCARE
Entity type:Organization
Organization Name:TRILOGY GLOBAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CMO
Authorized Official - Prefix:DR
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:678-653-9716
Mailing Address - Street 1:300 TECHNOLOGY CT SE STE 400
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-5235
Mailing Address - Country:US
Mailing Address - Phone:678-653-9716
Mailing Address - Fax:678-653-9777
Practice Address - Street 1:300 TECHNOLOGY CT SE STE 400
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082-5235
Practice Address - Country:US
Practice Address - Phone:678-653-9716
Practice Address - Fax:470-221-2098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-24
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty