Organization
TMC INTERNAL MEDICINE ASSOCIATES VILLA RICA
Active
Organization
TMC INTERNAL MEDICINE ASSOCIATES VILLA RICA
Active
Other names
Villa Rica Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DALE DREILING M.D. (SENIOR VP)
(770) 838-8038
Entity
Organization
Contact information
Practice address
690 DALLAS HWY, SUITE 303, VILLA RICA, GA 30180-1209
(770) 456-3790
(770) 456-3785
Mailing address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(770) 836-9261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH5396
MEDICARE ID
GA
Enumeration date
07/30/2006
Last updated
06/30/2010
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