# TLC FOR WOMEN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Total Lifetime Care for Women
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750329306
- **Authorized official:** DR. JAMES RICHARD MOULTON II M.D. (CEO)
- **Authorized official phone:** (770) 995-9100

## Contact information

- **Practice address:** 555 OLD NORCROSS RD, SUITE 250, LAWRENCEVILLE, GA 30045-8716
- **Practice address phone:** (770) 995-9100
- **Practice address fax:** (770) 822-9444
- **Mailing address:** 2069 TERON TRCE, DACULA, GA 30019-1665
- **Mailing address phone:** (770) 995-9100
- **Mailing address fax:** (770) 822-9444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 043436 | GA | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 09/29/2010