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TCWC LAWRENCEVILLE LLC
NPI 1205212917
Clinic/Center in Lawrenceville, GA

Active since August 04, 2015
3157 SUGARLOAF PKWY STE 130, LAWRENCEVILLE, GA 30045(678) 828-4114(404) 855-4184 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tcwc Lawrenceville Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TCWC LAWRENCEVILLE LLC (NPI 1205212917) is a healthcare organization registered as a clinic/center in Lawrenceville, Georgia and active in the NPI registry since August 2015. The organization lists Amber Blue, Contracting Manager, as its authorized official.

NPPES Registry Identity

NPI1205212917
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTCWC LAWRENCEVILLE LLC
Location Address3157 SUGARLOAF PKWY STE 130Lawrenceville, GA 30045-9492
Mailing Address3157 Sugarloaf Pkwy Ste 130Lawrenceville, GA 30045-9492 · (678) 828-4114
Phone(678) 828-4114
Fax(404) 855-4184
Organization SubpartNo
Authorized OfficialAmber BlueContracting Manager · (636) 978-0970
Enumeration DateAugust 4, 2015
Last NPPES UpdateJune 16, 2016
✔ NPI 1205212917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in GA · CHIR009505
Definition
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).
3157 SUGARLOAF PKWY STE 130, Lawrenceville, GA 30045
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tcwc Lawrenceville LLC's NPI number?

The NPI number for Tcwc Lawrenceville LLC is 1205212917. It was assigned to this organization in the NPPES registry on August 4, 2015.

Where is Tcwc Lawrenceville LLC located?

Tcwc Lawrenceville LLC is located at 3157 Sugarloaf Pkwy Ste 130, Lawrenceville, GA 30045. The listed phone number is (678) 828-4114.

What is Tcwc Lawrenceville LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Tcwc Lawrenceville LLC was last updated on June 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.