Provider Demographics
NPI:1265099733
Name:T&T MEDICAL CORP
Entity type:Organization
Organization Name:T&T MEDICAL CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:THURBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-846-8108
Mailing Address - Street 1:PO BOX 4135
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-1719
Mailing Address - Country:US
Mailing Address - Phone:607-846-8108
Mailing Address - Fax:
Practice Address - Street 1:504 E TERRACE CT
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30189-7025
Practice Address - Country:US
Practice Address - Phone:607-846-8108
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies