Individual
PHILIP M TATUM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DIVISION OF NEONATOLOGY, MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4663
Mailing address
306 GLENDALE AVE, DECATUR, GA 30030-1920
(205) 478-3210
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
067809
GA
Other
Enumeration date
05/21/2007
Last updated
07/06/2012
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