Individual
TAMACRA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
601 11TH AVE, ALBANY, GA 31701-1645
(229) 430-6005
(229) 430-5102
Mailing address
PO BOX 1988, ALBANY, GA 31702-1988
(229) 430-6005
(229) 430-5102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN256393
GA
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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