Tlc Vc, LLC

NPI #1194939900 in Irmo, South Carolina

Provider Information

NPI Number: 1194939900
Entity Type: Organization
Organization Name: Tlc Vc, LLC
Primary Specialty: Clinic/Center
Enumeration Date: May 10, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 945 LAKE MURRAY BLVD.
Address 2: SUITE A.
City: Irmo
State: South Carolina
ZIP Code: 29063
Phone: (803) 753-7730

Authorized Official

Name: BRIAN L ANDREW
Title: SECRETARY
Phone: (636) 534-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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