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1891958500
TAHIRA IMAN PRENDERGAST
COLUMBUS, GA
NPI
1891958500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0122X Surgery Plastic and Reconstructive Surgery
(Licence: GA 75866)
Enumeration Date
2008-07-03
Last Update Date
2016-09-27
Business Address
TAHIRA IMAN PRENDERGAST M.D.
2522 WARM SPRINGS RD
COLUMBUS, GA 31904-5640
Phone number: 706-322-9313
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Mailing Address
TAHIRA IMAN PRENDERGAST M.D.
2522 WARM SPRINGS RD
COLUMBUS, GA 31904-5640
Phone number:
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