TAMARAH THREAT

LAWRENCEVILLE, GA
NPI1346834546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: GA  RN228456)
Enumeration Date2021-02-27
Last Update Date2021-02-27
Business Address
TAMARAH THREAT NP-C
478 NORTHDALE RD STE 201
LAWRENCEVILLE, GA 30046-8902
Phone number: 770-820-4105
Mailing Address
TAMARAH THREAT NP-C
835 PAPER CREEK DR
LAWRENCEVILLE, GA 30046-5356
Phone number: 770-820-4105