Provider Demographics
NPI:1295059764
Name:TTJ MEDSTAFF STAFFING
Entity type:Organization
Organization Name:TTJ MEDSTAFF STAFFING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER JANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-453-7954
Mailing Address - Street 1:2542 YOUNG AMERICA DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-8002
Mailing Address - Country:US
Mailing Address - Phone:877-453-7954
Mailing Address - Fax:404-751-2787
Practice Address - Street 1:3780 OLD NORCROSS RD
Practice Address - Street 2:STE 103-275
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-1740
Practice Address - Country:US
Practice Address - Phone:877-452-7954
Practice Address - Fax:404-751-2787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2010007122251J00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care