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Individual

TIARA NICHOLE LOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
30 CHATEAU DR SE, ROME, GA 30161-7201
(706) 291-3620
Mailing address
9696 YELLOW PINE RD, MIDLAND, GA 31820-4151

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
589071
GA

Other

Enumeration date
03/09/2026
Last updated
03/09/2026
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