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Organization

TAMARA THORN DMSC, PA-C, LCSW PSYCHIATRIC PHYSICIAN ASSISTANT SERVICES

Active
Parent organization
TAMARA THORN DMSC, PA-C, LCSW PSYCHIATRIC PHYSICIAN ASSISTANT SERVICES
Other names
THE TRAVELING PHYSICIAN ASSISTANT
Organization subpart
Yes

Provider details

NPI number
Legal business name
TAMARA THORN DMSC, PA-C, LCSW PSYCHIATRIC PHYSICIAN ASSISTANT SERVICES
Authorized official
DR. DR. TAMARA IDETTE THORN PA-C, LCSW, CAADC (OWNER, OPERATOR)
(704) 898-7837
Entity
Organization

Contact information

Practice address
45 LULLWATER DR UNIT 617, RICHMOND HILL, GA 31324-6612
(704) 898-7837
Mailing address
PO BOX 2687, RICHMOND HILL, GA 31324-2687
(912) 572-0358
(912) 244-9958

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
07/01/2024
Last updated
08/14/2024
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