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1891514162
MERCEDES R TATUM
GAINESVILLE, GA
NPI
1891514162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 12598)
Enumeration Date
2024-10-04
Last Update Date
2025-01-17
Business Address
MERCEDES R TATUM PA
663 LANIER PARK DR
GAINESVILLE, GA 30501-2059
Phone number: 678-450-0202
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Mailing Address
MERCEDES R TATUM PA
663 LANIER PARK DR
GAINESVILLE, GA 30501-2059
Phone number: 770-393-9000
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