Individual
TATUM S MEALING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
35 COLLIER RD NW, SUITE 635, ATLANTA, GA 30309-1613
(404) 367-3014
(404) 357-3558
Mailing address
PO BOX 102847, ATLANTA, GA 30368-2847
(404) 367-3014
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
RN166826 NP
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
6536
NC
Other
Enumeration date
05/23/2007
Last updated
09/08/2025
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