Individual
TAMARRIAN MYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR REPLACEMENT SPE
Contact information
Practice address
3595 HIRAM DOUGLASVILLE HWY STE 210, HIRAM, GA 30141-4963
(404) 663-3585
Mailing address
3595 HIRAM DOUGLASVILLE HWY STE 210, HIRAM, GA 30141-4963
(404) 663-3585
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO112150
GA
Other
Enumeration date
03/04/2018
Last updated
03/04/2018
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