SHAN DAVID TULLY

HIRAM, GA
NPI1275498131
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  APRN-NP294893)
Enumeration Date2025-12-22
Last Update Date2025-12-22
Business Address
SHAN DAVID TULLY FNP-C
6736 BILL CARRUTH PKWY APT 805
HIRAM, GA 30141-3794
Phone number: 470-330-0826
Mailing Address
SHAN DAVID TULLY FNP-C
6736 BILL CARRUTH PKWY APT 805
HIRAM, GA 30141-3794
Phone number: 470-330-0826