Individual
TATA-NISHA FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPS-MD, AD
Contact information
Practice address
504 FAIR ST SW, ATLANTA, GA 30313-1206
(470) 896-6046
Mailing address
4037 BROWNE CT, CONLEY, GA 30288-6811
(404) 263-2478
(404) 973-0276
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
GA
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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