Individual
PROF. TAMOYA N PHILOGEN E
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
981 OVERLOOK PATH WAY, LAWRENCEVILLE, GA 30045-8803
(404) 731-2487
Mailing address
981 OVERLOOK PATH WAY, LAWRENCEVILLE, GA 30045-8803
(140) 457-4844
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
078427-01
NY
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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