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Search › Georgia › 171M00000X

Tashia Purnell, SERVICE COORDINATOR

NPI 1649033507 · on the registry since 2024 · sole proprietor

Practice

Address
790 Oak Trail Dr
Marietta, GA 30062
Phone
(770) 212-2170
Fax
(770) 783-8639
Organisation at this address
Moon River, Llc
Moon River, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-02

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