Individual
MISS EMMALYN V. TAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSOCIATE
Contact information
Practice address
78TH MEDICAL GROUP, 655 SEVENTH ST, ROBINS AFB, GA 31098
(478) 327-8487
Mailing address
78TH MEDICAL GROUP, 655 SEVENTH ST, ROBINS AFB, GA 31098
(478) 327-8487
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/20/2010
Last updated
01/21/2025
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