ANGELA TISON DIMARE

MARIETTA, GA
NPI1245483486
Former NameANGELA C. TISON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  005464)
Additional Taxonomies363A00000X Physician Assistant
(Licence: GA  005464)
Enumeration Date2008-10-31
Last Update Date2014-01-31
Business Address
-- ANGELA TISON DIMARE PA-C
300 TOWER ROAD SUITE 200
MARIETTA, GA 30060-9403
Phone number: 770-427-5717
Mailing Address
-- ANGELA TISON DIMARE PA-C
300 TOWER ROAD SUITE 200
MARIETTA, GA 30060-9403
Phone number: 770-427-5717