TRIDENT MEDICAL GROUP PA

ATLANTA, GA
NPI1699435081
Entity TypeOrganization
Authorized ContactDEVION SMITH
Director, Payer Contracting
424-326-8711
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies213E00000X Podiatrist
213EP0504X Podiatrist, Public Medicine
Enumeration Date2021-12-27
Last Update Date2022-11-14
Business Address
TRIDENT MEDICAL GROUP PA
3372 PEACHTREE ROAD SUITE 115
ATLANTA, GA 30326
Phone number: 855-770-7771
Mailing Address
TRIDENT MEDICAL GROUP PA
382 NE 191ST ST, PMB 75481
MIAMI, FL 33179-3899
Phone number: 310-626-0149