Dimare, Angela Tison

Dimare, Angela Tison is an individual health care provider with primary practice located at 300 Tower Road Suite 200, Marietta GA 30060-9403. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Dimare, Angela Tison can be contacted via phone (770) 427-5717.

Contact Information

Primary practice address
300 Tower Road Suite 200 Marietta GA 30060-9403
Phone: (770) 427-5717
Fax: (770) 514-6744
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 005464 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005464 Georgia

Profile Details

NPI number 1245483486
LBN Legal business name Dimare, Angela Tison
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2008
Last updated Jan 31st, 2014 - 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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