Mercedes Tatum, PA

NPI 1891514162 · on the registry since 2024

Practice

Address: 663 Lanier Park Dr
Gainesville, GA 30501
Phone: (678) 450-0202
Fax: (678) 450-0080
Organisation at this address: Kidney Care Center Of Georgia Llc
Laboratory Corporation Of America Holdings
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-01-28

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