Individual
TANISHA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3888 FRANKS WAY, LOGANVILLE, GA 30052-5745
(404) 468-0998
Mailing address
3888 FRANKS WAY, LOGANVILLE, GA 30052-5745
(404) 468-0998
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
PHCP013003
GA
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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