Individual
TARA NALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
134 MOUNTAINSIDE VILLAGE PKWY, SUITE 100, JASPER, GA 30143-8694
(706) 253-3100
(706) 253-3101
Mailing address
134 MOUNTAINSIDE VILLAGE PKWY, SUITE 100, JASPER, GA 30143-8694
(706) 253-3100
(706) 253-3101
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
RPH019947
GA
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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