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Tmc Children's Healthcare Of West Georgia
Medical Specialty Clinic/Center in Carrollton, Georgia
NPI 1518972348

Tmc Children's Healthcare Of West Georgia is a Medical Specialty Clinic/Center based in Carrollton, GA and is specialized in Medical Specialty. Tmc Children's Healthcare Of West Georgia practices in Carrollton, GA. The NPI Number for Tmc Children's Healthcare Of West Georgia is 1518972348 and holds a License No. (Georgia).

The current practice location address for Tmc Children's Healthcare Of West Georgia is 148 Clinic Ave, Carrollton, GA and can be reached out via phone at 770-838-8640 and via fax at 770-838-8650.

Location: 148 Clinic Ave, Carrollton, GA, 30117-4414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518972348
Provider Name
Tmc Children's Healthcare Of West Georgia
Credential
Provider Entity Type
Organization
Address
148 Clinic Ave, Carrollton, GA, 30117-4414
Phone Number
770-838-8640
Fax Number
770-838-8650
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300035885C 01 GA MEDICAID PAYEE
300035885A 01 GA MEDICAID PAYEE
300035885B 01 GA MEDICAID PAYEE
institution
Provider Business Practice Location Address Details
Address
148 Clinic Ave
City
Carrollton
State
Georgia
Zip
30117-4414
Phone Number
770-838-8640
Fax Number
770-838-8650
person
Provider Business Mailing Address Details
Address
148 Clinic Ave
City
Carrollton
State
Georgia
Zip
30117-4414
Phone Number
770-838-8640
Fax Number
770-838-8650
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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