Individual
TINA GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCSH
Contact information
Practice address
100 PROFESSIONAL PL STE 307, CARROLLTON, GA 30117-3872
(770) 812-5978
(770) 812-5981
Mailing address
320 STONEBRIDGE BLVD, BREMEN, GA 30110-2353
(678) 462-4265
(770) 812-5981
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
457
GA
246Z00000X
Other Specialist/Technologist
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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