Macera, Tana M.

Macera, Tana M. is an individual health care provider with primary practice located at 2501 N. Patterson Street , Valdosta GA 31602-1735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Macera, Tana M. can be contacted via phone (229) 433-1000.

Contact Information

Primary practice address
2501 N. Patterson Street Valdosta GA 31602-1735
Phone: (229) 433-1000
Fax: (229) 259-4405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN127219NP Georgia

Profile Details

NPI number 1306985619
LBN Legal business name Macera, Tana M.
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Jun 1st, 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 1306985619 NPPES
Georgia MEDICAID 504617020B

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