Individual
TISHANA L GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2525 CUMBERLAND PKWY SE, ATLANTA, GA 30339-3915
(404) 365-0966
Mailing address
111A BERRY AVE, GREER, SC 29651-1307
(864) 801-2035
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3284
SC
363L00000X
Nurse Practitioner
Primary
NP248013
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3284
LICENSE
SC
Enumeration date
09/09/2008
Last updated
10/23/2025
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