Individual
TARA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 WESTVIEW DR SW, PHYSICIAN ASSISTANT STUDIES MSM, ATLANTA, GA 30310-1458
(404) 756-1959
Mailing address
3400 OLD MILTON PKWY, STE C270, ALPHARETTA, GA 30005-4414
(706) 957-0091
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10653
GA
Other
Enumeration date
05/05/2020
Last updated
01/18/2022
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