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TLC FOR WOMEN NPI 1750329306


NPI Information

NPI: 1750329306
Provider Name: TLC FOR WOMEN

Other Name: TOTAL LIFETIME CARE FOR WOMEN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
555 OLD NORCROSS RD
SUITE 250
LAWRENCEVILLE, GA
ZIP 30045
Phone: (770) 995-9100
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TLC FOR WOMEN is an obstetrics gynecology in Lawrenceville, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. TLC FOR WOMEN NPI is 1750329306. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Total Lifetime Care For Women.

The provider's business location address is:

555 OLD NORCROSS RD
SUITE 250
LAWRENCEVILLE, GA
ZIP 30045-716
Phone: (770) 995-9100
Fax: (770) 822-9444

The provider's authorized official is James Richard Moulton .
The authorized official title is Ceo and has the following contact phone number (770) 995-9100.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 9/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology043436GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00130132OTHERGEORGIARR MEDICARE
2000750362BMEDICAIDGEORGIA
316BBBWLMEDICARE PINGEORGIA
44804710OTHERGEORGIACIGNA
5309499OTHERGEORGIAWELLCARE
60013191OTHERGEORGIABCBS
75554055OTHERGEORGIAAETNA
8F73020MEDICARE UPINGEORGIA
9GRP7675MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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