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1801246608
TISHANA GARDENER
DECATUR, GA
NPI
1801246608
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 317752)
Enumeration Date
2016-06-13
Last Update Date
2024-11-18
Business Address
TISHANA GARDENER
107 N MCDONOUGH ST
DECATUR, GA 30030-3317
Phone number: 678-772-9935
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Mailing Address
TISHANA GARDENER
107 N MCDONOUGH ST
DECATUR, GA 30030-3317
Phone number:
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