Individual
TAMMY SHENELL ROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6632 SAINT JUDE DR, FAIRBURN, GA 30213-5432
(678) 682-4400
(404) 916-7022
Mailing address
6632 SAINT JUDE DR, FAIRBURN, GA 30213-5432
(404) 341-8211
(404) 916-7022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
675326
NY
163W00000X
Registered Nurse
Primary
RN248012
GA
163WA2000X
Administrator Registered Nurse
RN248012
GA
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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