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Individual

NATHAN CARMAN TIRABASSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3200 HIGHLANDS PKWY SE STE 100, SMYRNA, GA 30082-5192
(770) 319-5502
(404) 481-4452
Mailing address
3200 HIGHLANDS PKWY SE STE 100, SMYRNA, GA 30082-5192
(770) 319-5502
(404) 481-4452

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD305009
GA
2255A2300X
Athletic Trainer
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/26/2014
Last updated
06/14/2024
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