Organization · Type 2 NPI
TLC of Georgia LLC
Family Nurse Practitioner · Bonaire, GA
NPI number
1124407440
Active
Practice location
774 Ga Highway 96
Bonaire, GA 31005-3300
Mailing address
2620 Elm Hill Pike
Nashville, TN 37214-3108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1124407440
TLC of Georgia LLC's National Provider Identifier is 1124407440, issued on May 19, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bonaire, GA. The record was last updated on Oct 22, 2025.