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Individual
PHILIP M TATUM JR.
Active
Individual
PHILIP M TATUM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
067809
GA
Other
Enumeration date
05/21/2007
Last updated
07/06/2012
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