Organization
TAMARA WEISS, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA E WEISS MD (OWNER)
(404) 474-7021
Entity
Organization
Contact information
Practice address
1772 CENTURY BLVD NE STE A, ATLANTA, GA 30345-3396
(404) 474-7021
Mailing address
501 PULLIAM ST SW, SUITE 407, ATLANTA, GA 30312-2755
(404) 474-7021
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
059789
GA
251S00000X
Community/Behavioral Health Agency
Primary
059789
GA
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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