Individual
TAMMY W GEORGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 ROUND VALLEY DR, PARK CITY, UT 84060-7571
(435) 333-1500
Mailing address
650 ROUND VALLEY DR, PARK CITY, UT 84060-7571
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
262153-3102
UT
163WC1500X
Community Health Registered Nurse
Primary
262153-3102
UT
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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