Individual
TAHIRAH MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(404) 616-1000
Mailing address
PO BOX 110147, ATLANTA, GA 30311-0047
(404) 399-0996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN199395
GA
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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