Individual
TAMARA YANCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2377 PROCTOR CREEK ENCLAVE, ACWORTH, GA 30101-3631
(678) 768-7182
Mailing address
2377 PROCTOR CREEK ENCLAVE, ACWORTH, GA 30101-3631
(678) 768-7182
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN215887
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN215887
GA
Other
Enumeration date
06/26/2021
Last updated
01/15/2023
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