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Organization

TLC LIFESTYLE COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YA ALEXANDRA (MANAGER)
(404) 474-4932
Entity
Organization

Contact information

Practice address
3390 PEACHTREE RD NE, SUITE 515, ATLANTA, GA 30326-1157
(404) 855-4585
Mailing address
3535 PEACHTREE RD NE, SUITE 520-553, ATLANTA, GA 30326-3287

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
11/21/2015
Last updated
02/15/2016
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