Tlc for Women After Hours L.l.c

NPI #1083942650 in Dacula, Georgia

Provider Information

NPI Number: 1083942650
Entity Type: Organization
Organization Name: Tlc for Women After Hours L.l.c
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Nov 19, 2009
Last Updated: Nov 19, 2009

Practice Location

Address: 2069 TERON TRCE
Address 2: SUITE 100
City: Dacula
State: Georgia
ZIP Code: 30019-1665
Phone: (770) 995-9100

Authorized Official

Name: JAMES R MOULTON II, M.D.
Title: CEO
Phone: (770) 995-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X	Primary

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