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Organization

TMC GASTROENTEROLOGY ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBI PEARE (DIRECTOR OF FINANCIAL OPERATION)
(770) 838-8554
Entity
Organization

Contact information

Practice address
690 DALLAS HWY, SUITE 304, VILLA RICA, GA 30180-1209
(770) 456-3786
(770) 456-3806
Mailing address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(770) 836-9261

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DE8830
MEDICARE ID
GA
Enumeration date
07/30/2006
Last updated
05/14/2008
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