Individual
TAMARA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6065 ROSWELL RD STE 450, ATLANTA, GA 30328-4011
(404) 994-6226
(404) 994-6226
Mailing address
6065 ROSWELL RD STE 450, ATLANTA, GA 30328-4011
(404) 994-6226
(404) 994-6226
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002743
GA
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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