Individual
MRS. TAMELA RENEE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2618-A MAX CLELAND BLVD, LITHONIA, GA 30058-4495
(678) 526-8733
(678) 526-9367
Mailing address
2618-A MAX CLELAND BLVD, LITHONIA, GA 30058-4495
(678) 526-8733
(678) 526-9367
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
GA
Other
Enumeration date
08/09/2007
Last updated
08/14/2007
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