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Tia Carroll
NPI 1063181741 · on the registry since 2021 · sole proprietor
Practice
- Address
- 9798 Musket Ridge Cir
Jonesboro, GA 30238 - Phone
- (404) 388-9209
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Also registered as
- 163WC0400X
163WC1500X
163WH0200X
163WW0000X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-07
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