Individual
DR. TANESHA MARIE MCCAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
3999 AUSTELL RD STE 901, AUSTELL, GA 30106-1160
(770) 809-3032
Mailing address
1824 DEFOOR AVE NW APT 4211, ATLANTA, GA 30318-3071
(919) 949-6386
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101022070
MI
207Q00000X
Family Medicine Physician
Primary
86353
GA
Other
Enumeration date
05/12/2015
Last updated
05/23/2023
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