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Brandon Tatum
NPI 1457887614 · on the registry since 2017 · sole proprietor
Practice
- Address
- 4449 Covington Hwy
Decatur, GA 30035 - Phone
- (404) 254-2973
- Organisation at this address
- Jeavaat Medical Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171W00000X
171W00000X
- Sex
- Male
- Record last updated
- 2018-10-04
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