MEDICARE: TLC FAMILY CARE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician
2	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164649356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TLC FAMILY CARE PC

Provider Business Mailing Address
First Line	:	705 HOWELL ST
Second Line	:
City	:	SPARTA
State	:	TN
Zip	:	38583-1008
Country	:	US
Telephone Number	:	931-739-0048
Fax Number	:	931-739-0047

Provider Business Practice Location Address
First Line	:	705 HOWELL ST
Second Line	:
City	:	SPARTA
State	:	TN
Zip	:	38583-1008
Country	:	US
Telephone Number	:	931-739-0048
Fax Number	:	931-739-0047

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DOUG DODSON
Credential	:
Telephone Number	:	931-739-0048

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	06/14/2010

Similar Medicare Providers

1770586679 — STYLIANOS A KAKOULLIS MD
Practice Location Address:

705 HOWELL ST , STE B
SPARTA, TN
38583-1008

Practice Phone: 931-738-4595
Practice Fax: 931-738-4596

1760486112 — MOLLIE DODSON MD
Practice Location Address:

705 HOWELL ST
SPARTA, TN
38583-1008

Practice Phone: 931-739-0048
Practice Fax: 931-739-0047

1154832459 — JEANNE KAY THOMPSON FNP-BC
Practice Location Address:

705 HOWELL ST
SPARTA, TN
38583-1008

Practice Phone: 931-739-0048
Practice Fax:

1326993320 — FALLING WATER PHARMACY, LLC
Practice Location Address:

285 W TURN TABLE RD
SPARTA, TN
38583-1366

Practice Phone: 931-836-3187
Practice Fax: 931-836-3398

1083560866 — BROOKLYN VICTORIA CANTRELL APRN
Practice Location Address:

135 WALKER ST
SPARTA, TN
38583-1725

Practice Phone: 931-836-2201
Practice Fax:

1811999006 — JAMES AACHEN-WINANS MD
Practice Location Address:

415 SEWELL DR
SPARTA, TN
38583-1223

Practice Phone: 931-739-8111
Practice Fax: 931-739-8112

Directions to “TLC FAMILY CARE PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.