Marshall, Tamara Lynn

Marshall, Tamara Lynn is an individual health care provider with primary practice located at 8954 Hospital Drive , Douglasville GA 30134. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is her primary health care specialty. Marshall, Tamara Lynn can be contacted via phone (770) 920-6413.

Contact Information

Primary practice address
8954 Hospital Drive Douglasville GA 30134
Phone: (770) 920-6413
Fax: (678) 838-2532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002716 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 002716 Georgia

Profile Details

NPI number 1922081330
LBN Legal business name Marshall, Tamara Lynn
Credentials P.A.A.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Feb 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922081330 NPPES
Georgia MEDICAID 491431789A
Georgia MEDICAID 199727917A

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