Healthcare Provider Details

I. General information

NPI: 1578474011
Provider Name (Legal Business Name): TS WHOLEHEART HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

477 TOWNSEND BND
STOCKBRIDGE GA
30281-7989
US

IV. Provider business mailing address

477 TOWNSEND BND
STOCKBRIDGE GA
30281-7989
US

V. Phone/Fax

Practice location:
  • Phone: 254-325-4648
  • Fax:
Mailing address:
  • Phone: 254-325-4648
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: TINA DODD
Title or Position: CEO
Credential:
Phone: 523-458-7454