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Tcwc Lawrenceville Llc
Clinic/Center in Lawrenceville, Georgia
NPI 1205212917

Tcwc Lawrenceville Llc is a Clinic/Center based in Lawrenceville, GA. Tcwc Lawrenceville Llc practices in Lawrenceville, GA. The NPI Number for Tcwc Lawrenceville Llc is 1205212917 and holds a License No. CHIR009505 (Georgia).

The current practice location address for Tcwc Lawrenceville Llc is 3157 Sugarloaf Pkwy Ste 130, Lawrenceville, GA and can be reached out via phone at 678-828-4114 and via fax at 404-855-4184.

Location: 3157 Sugarloaf Pkwy Ste 130, Lawrenceville, GA, 30045-9492
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205212917
Provider Name
Tcwc Lawrenceville Llc
Credential
Provider Entity Type
Organization
Address
3157 Sugarloaf Pkwy Ste 130, Lawrenceville, GA, 30045-9492
Phone Number
678-828-4114
Fax Number
404-855-4184
Provider Enumeration Date
08/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3157 Sugarloaf Pkwy Ste 130
City
Lawrenceville
State
Georgia
Zip
30045-9492
Phone Number
678-828-4114
Fax Number
404-855-4184
person
Provider Business Mailing Address Details
Address
3157 Sugarloaf Pkwy Ste 130
City
Lawrenceville
State
Georgia
Zip
30045-9492
Phone Number
678-828-4114
Fax Number
404-855-4184
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
CHIR009505 (Georgia)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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