Charest, Tamara

Charest, Tamara is an individual health care provider with primary practice located at 121B Lee Street , Carrollton GA 30117. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Charest, Tamara can be contacted via phone (770) 830-8622.

Contact Information

Primary practice address
121B Lee Street Carrollton GA 30117
Fax: (770) 832-9031
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005278 Georgia

Profile Details

NPI number 1568520567
LBN Legal business name Charest, Tamara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Oct 14th, 2010 - about 15 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 1568520567 NPPES
Georgia MEDICAID 590077785A

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