Anderson, Tamolette Jane

Anderson, Tamolette Jane is an individual health care provider with primary practice located at 1700 Medical Way , Snellville GA 30078-2195. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Anderson, Tamolette Jane can be contacted via phone (770) 979-9996.

Contact Information

Primary practice address
1700 Medical Way Snellville GA 30078-2195
Phone: (770) 979-9996
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R090293 Georgia

Profile Details

NPI number 1417938945
LBN Legal business name Anderson, Tamolette Jane
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated May 4th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417938945 NPPES
Georgia Other 430032609 RAILROAD MEDICARE
Georgia MEDICAID 000691446B RAILROAD MEDICARE
Georgia MEDICAID 000691446D RAILROAD MEDICARE

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