TMC Internal Medicine of Carrollton Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

012577 Issued in GA

Legal business name

TMC INTERNAL MEDICINE OF CARROLLTON INC

Practice address

523 Dixie St
Suite 5
Carrollton, GA 30117-3870

Phone

(770) 834-0813

Fax

(770) 834-2054

NPI assigned

Oct 23, 2007

Last updated

Oct 23, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debbi Macaluso-Peare

Title

Director of Finance

Phone

(770) 838-8554

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1841489184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 DIXIE ST",
            "address_2": "SUITE 5",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173870",
            "telephone_number": "770-834-0813",
            "fax_number": "770-834-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 DIXIE ST",
            "address_2": "SUITE 5",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173870",
            "telephone_number": "770-834-0813",
            "fax_number": "770-834-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMC INTERNAL MEDICINE OF CARROLLTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "MACALUSO-PEARE",
        "authorized_official_first_name": "DEBBI",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "770-838-8554"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "012577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TMC Carrollton Family Healthcare, Inc (Carrollton Family Healthcare)
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• TMC Infectious Diseases of West Georgia
• TMC Tanner Pain Management Center, Inc. (Tanner Pain Management Center)
• TMC Villa Rica Hospital, Inc (NW Ga Oncology Ctr Retail Pharmacy - TMC/Villa Rica)
• TMC West Georgia Cardiology Inc (Tanner Heart & Vascular Specialists)
• TMC-West Georgia Anesthesia Associates Inc.
• TMC/Higgins General Hospital (Tanner Pharmacy)

• Internal Medicine Physician in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.