Organization
TAGTA, LLC
Active
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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