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Organization
TILMACARE
Active
Organization
TILMACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALIMATOU DIALLO NP (OWNER)
(404) 777-5285
Entity
Organization
Contact information
Practice address
138 PARK AVE STE 205, WINDER, GA 30680-2365
(404) 777-5285
Mailing address
138 PARK AVE STE 205, WINDER, GA 30680-2365
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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