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Organization
TLC FOR WOMEN
Active
Organization
TLC FOR WOMEN
Active
Other names
Total Lifetime Care for Women
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RICHARD MOULTON II M.D. (CEO)
(770) 995-9100
Entity
Organization
Contact information
Practice address
555 OLD NORCROSS RD, SUITE 250, LAWRENCEVILLE, GA 30045-8716
(770) 995-9100
(770) 822-9444
Mailing address
2069 TERON TRCE, DACULA, GA 30019-1665
(770) 995-9100
(770) 822-9444
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
043436
GA
Other
Enumeration date
06/04/2006
Last updated
09/29/2010
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