Tara Randall
Tara Randall is a Nurse Practitioner in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2017.
- Licensed in
- GA
- In the registry since
- 2017
Practice location Address checks out
2810 Tanner Lake Trl NWMarietta, GA 30064-1200
Phone: (678) 516-1053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence F09170149 (GA) |
|---|
Record details
| NPI number | 1437660305 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 19, 2017 |
| Last updated in NPPES | October 19, 2017 |
| Mailing address | 2810 Tanner Lake Trl Nw, Marietta, GA 30064-1200 |
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