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1376095638
TLC OF GEORGIA LLC
PEACHTREE CITY, GA
NPI
1376095638
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Entity Type
Organization
Authorized Contact
MARC R WATKINS
Cmo
615-425-4200
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
Enumeration Date
2016-11-02
Last Update Date
2016-12-21
Business Address
TLC OF GEORGIA LLC
564 CROSSTOWN DR
PEACHTREE CITY, GA 30269-2916
Phone number: 770-282-2944
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Mailing Address
TLC OF GEORGIA LLC
2620 ELM HILL PIKE
NASHVILLE, TN 37214-3108
Phone number: 615-425-4200
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