Individual
CHERRY LEE TISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
424 N MAIN ST, CEDARTOWN, GA 30125-2644
(770) 748-2500
Mailing address
420 E 2ND AVE, SUITE 103, ROME, GA 30161-3209
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN138701
GA
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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