Individual
MS. TIARA ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3059 QUANTUM LN, ATLANTA, GA 30341-8100
(404) 337-4570
Mailing address
3059 QUANTUM LN, ATLANTA, GA 30341-8100
(404) 337-4570
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PCH010369
GA
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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