Individual
TAMMY MICHELLE HARMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
380 HOSPITAL DR BLDG A STE 370, MACON, GA 31217
(478) 464-1617
Mailing address
380 HOSPITAL DR BLDG A STE 370, MACON, GA 31217
(478) 464-1617
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4323
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
657936652A
—
GA
Enumeration date
01/16/2006
Last updated
11/11/2020
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