Individual
TANESHA GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD STE 1100, ATLANTA, GA 30342-4795
(404) 851-2300
Mailing address
5670 PEACHTREE DUNWOODY RD STE 1100, ATLANTA, GA 30342-4795
(404) 851-2300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN252743
GA
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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