Provider Demographics
NPI:1669185468
Name:JTJ RESOURCES INC
Entity type:Organization
Organization Name:JTJ RESOURCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-284-9050
Mailing Address - Street 1:PO BOX 2571
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-8926
Mailing Address - Country:US
Mailing Address - Phone:678-284-9050
Mailing Address - Fax:877-710-7899
Practice Address - Street 1:JTJ RESOURCES, INC.
Practice Address - Street 2:4387 N. HENRY BLVGD.
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-3660
Practice Address - Country:US
Practice Address - Phone:678-284-9050
Practice Address - Fax:877-710-7899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-27
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural DermatologyGroup - Multi-Specialty
No261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA