Individual
TASHIA PURNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SERVICE COORDINATOR
Contact information
Practice address
790 OAK TRAIL DR, MARIETTA, GA 30062-7502
(770) 212-2170
(770) 783-8639
Mailing address
790 OAK TRAIL DR, MARIETTA, GA 30062-7502
(770) 212-2170
(770) 783-8639
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
210549
GA
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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