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Individual

CAITLIN MEHALICK TIERNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
804 DIXIE ST, CARROLLTON, GA 30117-4416
(770) 834-0606
Mailing address
119 AMBULANCE DR STE 202, CARROLLTON, GA 30117-3857
(770) 838-8710

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
077959
GA

Other

Enumeration date
07/05/2016
Last updated
07/21/2022
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