Individual
EBONY TAMICA JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 WINDY HILL RD SE STE 405, MARIETTA, GA 30067-8658
(800) 640-3451
Mailing address
PO BOX 1200, PLEASANT GROVE, UT 84062-1200
(800) 640-3451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP208604
GA
363LP2300X
Primary Care Nurse Practitioner
APRN-NP208604
GA
Other
Enumeration date
06/13/2018
Last updated
11/11/2025
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