# TLC MOBILE CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215625504
- **Authorized official:** TERRI LYNN WOODRUFF APN (APN/ OWNER)
- **Authorized official phone:** (423) 491-9741

## Contact information

- **Practice address:** 111 N MAIN AVE, ERWIN, TN 37650-1255
- **Practice address phone:** (423) 491-9741
- **Practice address fax:** (423) 220-3211
- **Mailing address:** PO BOX 293, ERWIN, TN 37650-0293
- **Mailing address phone:** (423) 491-9741
- **Mailing address fax:** (423) 220-3211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2023
- **Last updated:** 04/26/2023