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Organization

TMC CAROUSEL PEDIATRICS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBI MACALUSO-PEARE (CFO)
(770) 838-8554
Entity
Organization

Contact information

Practice address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(770) 834-0606
(770) 834-1833
Mailing address
804 DIXIE ST, CARROLLTON, GA 30117-4416
(770) 834-0606
(770) 834-1833

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
12/11/2008
Last updated
12/11/2008
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