Organization
TAGTA, LLC
Active
Parent organization
TAGTA,LLC
Other names
GBHP
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAGTA,LLC
Authorized official
MRS. ASLEY TAGTACIAN (OWNER)
(770) 431-2354
Entity
Organization
Contact information
Practice address
4015 S COBB DR SE, SUITE 115, SMYRNA, GA 30080-6303
(770) 431-2354
(770) 436-7143
Mailing address
4015 S COBB DR SE, SUITE 115, SMYRNA, GA 30080-6303
(770) 431-2354
(770) 436-7143
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
002588
GA
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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