Individual
MISS MERCEDES R TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
663 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(678) 450-0202
(678) 450-0080
Mailing address
663 LANIER PARK DR, GAINESVILLE, GA 30501-2059
(678) 450-0202
(678) 450-0080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12598
GA
Other
Enumeration date
10/04/2024
Last updated
01/28/2025
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