Organization
TMC WEST CARROLL FAMILY HEALTHCARE CENTER INC
Active
Other names
West Carroll Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT HOFFMAN (SR VP)
(770) 838-8845
Entity
Organization
Contact information
Practice address
1125 E HIGHWAY 166, BOWDON, GA 30108-2401
(770) 258-5424
(770) 838-8980
Mailing address
100 GREENWAY BLVD FL 2, CARROLLTON, GA 30117-4338
(770) 838-8710
(770) 812-5735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000750274A
—
GA
Enumeration date
06/28/2006
Last updated
02/29/2024
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