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Individual

ALEXIS D TASHIMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5461 MERIDIAN MARK RD STE 200, ATLANTA, GA 30342-4014
(404) 785-5437
(404) 785-3706
Mailing address
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-4082

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
89638
GA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
E-15742
AR

Other

Enumeration date
04/11/2015
Last updated
10/03/2022
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