Provider Demographics
NPI:1265826846
Name:TPJC LLC
Entity type:Organization
Organization Name:TPJC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLEMAGNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-875-3777
Mailing Address - Street 1:1874 PIEDMONT AVE NE
Mailing Address - Street 2:SUITE 375C
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-4869
Mailing Address - Country:US
Mailing Address - Phone:404-875-3777
Mailing Address - Fax:404-874-8049
Practice Address - Street 1:1874 PIEDMONT AVE NE
Practice Address - Street 2:SUITE 375C
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-4869
Practice Address - Country:US
Practice Address - Phone:404-875-3777
Practice Address - Fax:404-874-8049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-23
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi