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Individual

TAMMY A GLADNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
28 JOHN DAVENPORT DR NW, ROME, GA 30165-2536
(706) 235-8485
(706) 295-5742
Mailing address
420 E 2ND AVE, SUITE 103, ROME, GA 30161-3224
(706) 509-3278
(706) 509-4608

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
106430
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
644347430A
GA
Enumeration date
11/03/2006
Last updated
08/10/2021
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