Individual
TAMERA ETCHISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 N BROWN RD STE 255, LAWRENCEVILLE, GA 30043-8198
(404) 610-4506
Mailing address
1755 N BROWN RD STE 255, LAWRENCEVILLE, GA 30043-8198
(404) 610-4506
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
GA
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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