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Organization

ATALLAH HEALTH CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TACQUORA LASHAE MIXON CNA,CMA (CEO)
(404) 692-8860
Entity
Organization

Contact information

Practice address
6792 TRIBBLE ST STE 23, LITHONIA, GA 30058-4684
(404) 446-3639
Mailing address
6792 TRIBBLE ST STE 23, LITHONIA, GA 30058-4684
(404) 446-3639

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
171400000X
Health & Wellness Coach
Primary
376K00000X
Nurse's Aide

Other

Enumeration date
12/10/2025
Last updated
12/10/2025
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