Individual
MRS. MEREDITH MICHELLE TATUM HULSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1080 LUMPKIN CAMPGROUND ROAD S, SUITE 300, DAWSONVILLE, GA 30534
(706) 265-4100
(706) 265-4132
Mailing address
1080 LUMPKIN CAMPGROUND ROAD S, SUITE 300, DAWSONVILLE, GA 30534
(706) 265-4100
(706) 265-4132
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6834
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003168393A
—
GA
Enumeration date
06/10/2013
Last updated
10/05/2018
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