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Individual

TAMARA J. WOMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OPA

Taxonomy

Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
656
TN
363AM0700X
Medical Physician Assistant
656
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1516585
TN
Enumeration date
03/21/2007
Last updated
01/29/2025
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