Individual
MS. TAMMI LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1787 EARNEST NORMAN RD, NORMAN PARK, GA 31771-5600
(480) 229-5652
Mailing address
1787 EARNEST NORMAN RD, NORMAN PARK, GA 31771-5600
(480) 229-5652
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
052913025
GA
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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