Individual
TAYARI MCHEZAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
235 PEACHTREE ST NE, SUITE 2100, NORTH TOWER, ATLANTA, GA 30303-1401
(770) 994-4747
Mailing address
2313 NORBURY CV SE, SMYRNA, GA 30080-5206
(404) 729-6925
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
050409
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000918057G
GA URGENT CARE MCAID ID
GA
01
—
511I930107
GA URGENT CARE MCARE ID
GA
Enumeration date
08/08/2006
Last updated
05/17/2010
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