Individual
MARKO TADROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1430 JOHN WESLEY GILBERT DR, AUGUSTA, GA 30912-0001
(706) 721-8232
Mailing address
3025 POINTEWEST DR, AUGUSTA, GA 30909-4802
(706) 853-1947
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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