Individual
TEYMBI TOLIVER-TANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
2000 BLAYTON CIR NW, ATLANTA, GA 30314-1908
(678) 830-7532
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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