Search › Georgia › 106S00000X
Tanisha Carroll
NPI 1043981962 · on the registry since 2021
Practice
- Address
- 80 Mossy Oak Ln
Dallas, GA 30157 - Phone
- (678) 794-5578
- Fax
- (678) 742-8553
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-21
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