Organization · Type 2 NPI

TCWC Lawrenceville LLC

Clinic/Center · Lawrenceville, GA

NPI number 1205212917 Active

Practice location

3157 Sugarloaf Pkwy Ste 130
Lawrenceville, GA 30045-9492

Call (678) 828-4114 Map

Fax (404) 855-4184

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XCHIR009505 (GA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1205212917

TCWC Lawrenceville LLC's National Provider Identifier is 1205212917, issued on Aug 4, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jun 16, 2016.