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TLC FOR WOMEN AFTER HOURS L.L.C NPI 1083942650


NPI Information

NPI: 1083942650
Provider Name: TLC FOR WOMEN AFTER HOURS L.L.C
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
2069 TERON TRCE
SUITE 100
DACULA, GA
ZIP 30019
Phone: (770) 995-9100
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TLC FOR WOMEN AFTER HOURS L.L.C is an obstetrics gynecology in Dacula, 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 AFTER HOURS L.L.C NPI is 1083942650. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2069 TERON TRCE
SUITE 100
DACULA, GA
ZIP 30019-665
Phone: (770) 995-9100
Fax: (770) 822-9444

The provider's authorized official is James R 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 11/19/2009 and was last updated on 11/19/2009.


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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
116BBBWLMEDICARE PINGEORGIA
2F73020MEDICARE UPINGEORGIA

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: 5/5/2024

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