Individual
TAMIA CAMILLE WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 JESSE JEWELL PKWY NE STE 201, GAINESVILLE, GA 30501-3811
(770) 219-9300
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11964
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2023
Last updated
12/29/2023
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