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1184994956
TARA SHANNON ADAMS
MACON, GA
NPI
1184994956
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Former Name
TARA TOMBERLIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN175216 NP)
Enumeration Date
2012-01-10
Last Update Date
2022-06-28
Business Address
TARA SHANNON ADAMS NP-C
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number: 478-745-4206
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Mailing Address
TARA SHANNON ADAMS NP-C
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number: 478-745-4206
Copy
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