Individual
TARA D BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
1567 ROME HWY, CEDARTOWN, GA 30125-4402
(770) 749-7120
(706) 622-4348
Mailing address
1567 ROME HWY, CEDARTOWN, GA 30125-4402
(770) 749-7120
(706) 622-4348
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000844
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811076003
NPI
GA
Enumeration date
11/06/2006
Last updated
11/09/2017
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