THC Medical LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

THC MEDICAL LLC

Practice address

6315 Spalding Dr
Ste B
Norcross, GA 30092-4649

Phone

(770) 416-9995

Fax

(770) 416-9995

NPI assigned

May 19, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael Frank Procaccini, DC

Title

Managing Member

Phone

(770) 416-9995

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1740573070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 SPALDING DR",
            "address_2": "STE B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924649",
            "telephone_number": "770-416-9995",
            "fax_number": "770-416-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 SPALDING DR",
            "address_2": "STE B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924649",
            "telephone_number": "770-416-9995",
            "fax_number": "770-416-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THC MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "PROCACCINI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "770-416-9995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Tiffany Teran
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• Nicklaus Thomas
• Patricia Christina Thompson, MACC
• Tessa Valene Thompson, FNP

• Physical Medicine & Rehabilitation Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.