Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tarik Itum

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023903408

Tarik Itum is a Student in an Organized Health Care Education/Training Program in Marietta, Georgia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3713 Willow Wind Dr
Marietta, GA 30066-2989
Phone: (678) 995-9694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1023903408
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address3713 Willow Wind Dr, Marietta, GA 30066-2989

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