SearchGeorgia225700000X

Tamatha Willis, C-MMP

NPI 1447105291 · on the registry since 2026 · sole proprietor

Practice

Address
102 Mirramont Lake Dr
Woodstock, GA 30189
Phone
(678) 492-9600
Clinicians at this address
2

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
2026-02-26

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