Individual
TAMARA UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3805 CHEROKEE ST NW, KENNESAW, GA 30144-2085
(770) 426-5666
Mailing address
241 DUNSTANS PASS, MARIETTA, GA 30066-8542
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN244845
GA
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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