Individual
KRISHNA SUMEER TAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2470 MOUNT ZION PKWY, JONESBORO, GA 30236-2500
(404) 365-0966
Mailing address
2470 MOUNT ZION PKWY, JONESBORO, GA 30236-2500
(404) 365-0966
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8023
GA
Other
Enumeration date
07/11/2016
Last updated
11/13/2024
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