Individual
MS. TARA TANKSLEY STALLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA PC , CCL
Contact information
Practice address
1734 JENKINS ST, AUGUSTA, GA 30904-3736
(706) 294-9924
Mailing address
167 JEANINE WAY, AUGUSTA, GA 30909-2169
(706) 294-9924
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
09/14/2020
Last updated
05/20/2021
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