EMILY JANE TACKETT

AUSTELL, GA
NPI1063871994
Former NameEMILY JANE ALLEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA  RN204462)
Enumeration Date2016-02-20
Last Update Date2016-02-20
Business Address
Mrs. EMILY JANE TACKETT CPNP
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 470-732-5201
Mailing Address
Mrs. EMILY JANE TACKETT CPNP
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 470-732-5201
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