Individual
TAMMY HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3315 RENOIR CT, DECATUR, GA 30034-5181
(404) 944-0800
(770) 478-8722
Mailing address
3315 RENOIR CT, DECATUR, GA 30034-5181
(404) 944-0800
(770) 478-8722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN072932
GA
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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