Individual
TAMIKA CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-3482
(404) 778-5194
Mailing address
1841 MORNING STAR LN, TUCKER, GA 30084-7150
(770) 314-4811
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
006602
GA
Other
Enumeration date
10/11/2012
Last updated
05/30/2019
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