TLC OF GEORGIA LLC NPI 1386048742

NPI Information

NPI: 1386048742
Provider Name: TLC OF GEORGIA LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3600 DALLAS HWY SW
MARIETTA, GA
ZIP 30064
Phone: (770) 420-9170
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TLC OF GEORGIA LLC is a family nurse practitioner in Marietta, GA. TLC OF GEORGIA LLC NPI is 1386048742. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3600 DALLAS HWY SW
MARIETTA, GA
ZIP 30064-675
Phone: (770) 420-9170

The provider's authorized official is Marc R Watkins .
The authorized official title is Cmo and has the following contact phone number (615) 425-4200.

The enumeration date for this NPI number is 10/14/2014 and was last updated on 12/21/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

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: 4/28/2024

NPI Synchronization or Removal

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