Provider Demographics
NPI:1043922230
Name:EPIC MEDICAL SERVICES, LLC
Entity type:Organization
Organization Name:EPIC MEDICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLEVER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:678-271-2255
Mailing Address - Street 1:11945 HARBOUR TOWN PKWY
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30215-8046
Mailing Address - Country:US
Mailing Address - Phone:770-490-1498
Mailing Address - Fax:
Practice Address - Street 1:122 N. MCDONOUGH ST.
Practice Address - Street 2:SUITE 900
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236
Practice Address - Country:US
Practice Address - Phone:678-271-2255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care