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Organization

TLC FAMILY CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUG DODSON (OFFICE MANAGER)
(931) 739-0048
Entity
Organization

Contact information

Practice address
705 HOWELL ST, SPARTA, TN 38583-1008
(931) 739-0048
(931) 739-0047
Mailing address
705 HOWELL ST, SPARTA, TN 38583-1008
(931) 739-0048
(931) 739-0047

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208000000X
Pediatrics Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3732621
TN
Enumeration date
04/19/2007
Last updated
06/14/2010
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