Trilogy Wingard Center LLC

NPI #1497504310 in Tyrone, Georgia

Provider Information

NPI Number: 1497504310
Entity Type: Organization
Organization Name: Trilogy Wingard Center LLC
Primary Specialty: Family Medicine
Enumeration Date: May 14, 2024
Last Updated: May 14, 2024

Practice Location

Address: 510 SWANSON RD
City: Tyrone
State: Georgia
ZIP Code: 30290-6900
Phone: (770) 964-5230

Authorized Official

Name: AICHA STOMAN
Title: BILLING
Phone: (770) 964-5230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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