Individual
MRS. TASHA MAE ALDENTALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
44 PROFESSIONAL DR, JEFFERSON, GA 30549-6333
(678) 687-0141
Mailing address
44 PROFESSIONAL DR, JEFFERSON, GA 30549-6333
(678) 687-0141
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
RN277394
GA
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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