Organization
TMC TANNER GYNECOLOGY INC
Active
Other names
Villa Rica Obstetrics and Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBI MACALUSO-PEARE (CFO)
(770) 838-8554
Entity
Organization
Contact information
Practice address
690 DALLAS HWY, SUITE 301, VILLA RICA, GA 30180-1264
(770) 456-3850
(770) 456-3826
Mailing address
119 AMBULANCE DR, SUITE 202, CARROLLTON, GA 30117-3857
(770) 838-8922
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/30/2006
Last updated
05/14/2008
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