Individual
CHERYL DENISE TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SILVER RIDGE DR, GAINESVILLE, GA 30507-5504
(229) 591-0163
Mailing address
3400 SILVER RIDGE DR, GAINESVILLE, GA 30507-5504
(229) 591-0163
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
051793408
GA
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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