Organization
TLC PEDIATRICS & FAMILY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEAIRAH WILDER CRNP (OWNER/CRNP)
(256) 870-4111
Entity
Organization
Contact information
Practice address
22335 US HIGHWAY 72 STE C, SUITE C, ATHENS, AL 35613-2611
(256) 585-5626
(256) 870-4112
Mailing address
22335 US HIGHWAY 72 STE C, SUITE C, ATHENS, AL 35613-2611
(256) 870-4111
(256) 870-4112
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
10/09/2025
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