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Taquanta Pearson

NPI 1023681228 · on the registry since 2021 · sole proprietor

Practice

Address
123 Aristocratic Way
Locust Grove, GA 30248
Phone
(404) 273-7604

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-07-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia