Individual
TARRA MCCULLAR NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1400 NORTHSIDE FORSYTH DR, STE 250, CUMMING, GA 30041-7668
(770) 889-7118
(770) 844-7835
Mailing address
1400 NORTHSIDE FORSYTH DR, STE 250, CUMMING, GA 30041-7668
(770) 889-7118
(770) 844-7835
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN112198
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000806979H
—
GA
05
—
000806979I
—
GA
05
—
000806979J
—
GA
Enumeration date
09/29/2005
Last updated
02/02/2017
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