Individual
WILLIE W TAPP IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
2727 PACES FERRY RD SE STE 1-1100, ATLANTA, GA 30339-6151
(470) 271-3418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
051746
GA
208M00000X
Hospitalist Physician
Primary
051746
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00962024A
—
GA
Enumeration date
05/08/2006
Last updated
12/01/2020
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