Individual
TAMARA GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2365 WALL ST SE # 207, CONYERS, GA 30013-2197
(678) 887-1323
(404) 570-4957
Mailing address
2274 SALEM RD SE STE 106, CONYERS, GA 30013-2295
(678) 780-4129
(470) 570-4957
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CN0028881613
GA
Other
Enumeration date
08/02/2025
Last updated
08/02/2025
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