Tlc of Georgia LLC

NPI #1124407440 in Bonaire, Georgia

Provider Information

NPI Number
1124407440
Entity Type
Organization
Organization Name
Tlc of Georgia LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
May 19, 2015
Last Updated
Oct 22, 2025

Practice Location

Address
774 GA HIGHWAY 96
State
Georgia
ZIP Code
31005-3300
Phone
(478) 988-5711

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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