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Individual
WILLIE W TAPP IV
Active
Individual
WILLIE W TAPP IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
051746
GA
208M00000X
Hospitalist Physician
Primary
051746
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00962024A
—
GA
Enumeration date
05/08/2006
Last updated
12/01/2020
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