# TMC VILLA RICA HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TMC VILLA RICA HOSPITAL, INC
- **Other names:** NW Ga Oncology Ctr Retail Pharmacy - TMC/Villa Rica
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679195606
- **Legal business name:** TMC VILLA RICA HOSPITAL, INC
- **Authorized official:** CAROL S. CREWS CFO (CFO)
- **Authorized official phone:** (770) 812-9745

## Contact information

- **Practice address:** 157 CLINIC AVE STE 202, ROOM 219, CARROLLTON, GA 30117-4454
- **Practice address phone:** (770) 812-1919
- **Mailing address:** 100 PROFESSIONAL PL STE 305, CARROLLTON, GA 30117-3872
- **Mailing address phone:** (770) 812-8614
- **Mailing address fax:** (770) 812-8372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/13/2020
- **Last updated:** 09/08/2020