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Organization
TLC OF GEORGIA LLC
Active
Organization
TLC OF GEORGIA LLC
Active
Other names
The Little Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS SHELLY (VP & GENERAL MANAGER)
(615) 425-4200
Entity
Organization
Contact information
Practice address
1685 OLD PENDERGRASS RD, JEFFERSON, GA 30549-2705
(706) 387-7637
(706) 387-7638
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
(615) 425-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151842A
—
GA
05
—
003152667A
—
GA
05
—
003152671A
—
GA
05
—
003152673A
—
GA
05
—
003152675A
—
GA
05
—
003152677A
—
GA
05
—
003152679A
—
GA
05
—
003156403A
—
GA
05
—
003158723A
—
GA
05
—
003159771A
—
GA
05
—
003161926A
—
GA
05
—
003162917A
—
GA
05
—
003162918A
—
GA
05
—
003176618A
—
GA
05
—
003181344A
—
GA
05
—
003181503A
—
GA
05
—
003182733A
—
GA
05
—
003215523A
—
GA
Enumeration date
06/22/2011
Last updated
10/22/2025
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