Individual
EILEEN DILKS TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11315 JOHNS CREEK PKWY, JOHNS CREEK, GA 30097-2645
(770) 709-6922
(770) 709-6910
Mailing address
11315 JOHNS CREEK PKWY STE 340, JOHNS CREEK, GA 30097-2646
(770) 709-6922
(770) 709-6910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116032629
VA
207Q00000X
Family Medicine Physician
Primary
101543
GA
Other
Enumeration date
06/02/2019
Last updated
12/27/2024
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