SearchGeorgia376J00000X

Tikima Willis

NPI 1861077703 · on the registry since 2021 · sole proprietor

Practice

Address
985 Mount Zion Rd Apt 32b
Morrow, GA 30260
Phone
(313) 502-3451
Clinicians at this address
3

Registry record

Primary taxonomy
376J00000X
376J00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-12

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