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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