Nelson, Tarra Mccullar

Nelson, Tarra Mccullar is an individual health care provider with primary practice located at 1400 Northside Forsyth Dr Ste 250, Cumming GA 30041-7668. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Nelson, Tarra Mccullar can be contacted via phone (770) 889-7118.

Contact Information

Primary practice address
1400 Northside Forsyth Dr Ste 250 Cumming GA 30041-7668
Phone: (770) 889-7118
Fax: (770) 844-7835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN112198 Georgia

Profile Details

NPI number 1295722973
LBN Legal business name Nelson, Tarra Mccullar
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Feb 2nd, 2017 - about 7 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 1295722973 NPPES
Georgia MEDICAID 000806979H
Georgia MEDICAID 000806979I
Georgia MEDICAID 000806979J

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