Tmc Children's Healthcare Of West Georgia, NPI 1518972348
Medical Specialty Clinic/Center in Carrollton, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1518972348
NPI Entity Type Organization
Provider Name Tmc Children's Healthcare Of West Georgia
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 148 Clinic Ave, Carrollton, GA, US
Provider Mailing Address 148 Clinic Ave, Carrollton, GA, US, 301174414
Is Sole Proprietor? No
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Organization Official

Official Name M.D. Dale Dreiling
Official Position SENIOR VP
Phone 770-838-8038

Primary Taxonomy

Taxonomy Code

261QM2500X

Taxonomy Name Medical Specialty Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description 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).

Other Organization Name

Children's Healthcare of West Georgia
Other Name

Business Address

Tmc Children's Healthcare Of West Georgia
148 Clinic Ave

Carrollton, GA, US

Phone: 770-838-8640
Fax: 770-838-8650

Mailing Address

Tmc Children's Healthcare Of West Georgia
148 Clinic Ave
Carrollton, GA, US
ZIP 301174414
Phone: 770-838-8640
Fax: 770-838-8650

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
300035885C GA MEDICAID PAYEE 01
300035885A GA MEDICAID PAYEE 01
300035885B GA MEDICAID PAYEE 01

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