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Individual

JOHN MARK TATMAN

Active
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Individual

JOHN MARK TATMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
048730
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000966743E
GA
05
000966743F
GA
01
1336194638
NPI
GA
01
1982637419
GROUP NPI
GA
01
329255
WELLCARE
GA
01
951757
BCBS(AMC)
GA
01
976003
BCBSGA(NSC)
GA
01
P00351875
RAILROAD MEDICARE
Enumeration date
05/24/2006
Last updated
09/24/2008
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