National Provider Identifier Database

TMC CHILDRENS HEALTHCARE OF WEST GEORGIA
Medical Specialty

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).


Contact Information

TMC CHILDREN'S HEALTHCARE OF WEST GEORGIA
148 CLINIC AVE
CARROLLTON, GA30117-4414
Phone: 770-838-8640
Fax: 770-838-8650
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for TMC CHILDREN'S HEALTHCARE OF WEST GEORGIA

NPI Number 1518972348
Legal business name
LBN
TMC CHILDREN'S HEALTHCARE OF WEST GEORGIA
Authorized official DALE DREILING - (SENIOR VP)
Entity Organization
Organization subpart No
Enumeration date 07/30/2006
Last updated 06/30/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Other: 300035885A MEDICAID PAYEE
  • GA Other: 300035885B MEDICAID PAYEE
  • GA Other: 300035885C MEDICAID PAYEE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for TMC CHILDREN'S HEALTHCARE OF WEST GEORGIA

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