Individual
DR. TANYA MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2525 CUMBERLAND PKWY SE, KAISER PERMANENTE CUMBERLAND MEDICAL CENTER, ATLANTA, GA 30339-3915
(718) 470-4834
(718) 470-4678
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 504-5678
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
075390
GA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
276737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60 276737
LICENSE #
NY
Enumeration date
05/17/2011
Last updated
10/31/2024
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