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Organization
TLC OF GEORGIA LLC
Active
Organization
TLC OF GEORGIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SHELLY (VP & GENERAL MANAGER)
(615) 425-4200
Entity
Organization
Contact information
Practice address
3094 WATSON BLVD, WARNER ROBINS, GA 31093-8500
(478) 971-2324
(478) 971-2329
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4200
(615) 891-5244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750677241
GROUP NPI
GA
Enumeration date
11/02/2016
Last updated
10/22/2025
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