Tlc of Georgia LLC

NPI #1033513015 in Dacula, Georgia

Provider Information

NPI Number
1033513015
Entity Type
Organization
Organization Name
Tlc of Georgia LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 20, 2014
Last Updated
Oct 22, 2025

Practice Location

Address
505 DACULA RD
City
Dacula
State
Georgia
ZIP Code
30019-2125
Phone
(678) 407-8750

Authorized Official

Name
THOMAS SHELLY
Title
VP & GENERAL MANAGER
Phone
(615) 425-4200

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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