Tamara Thorn Dmsc, Pa-C, Lcsw Psychiatric Physician Assistant Services

NPI #1205671278 in Richmond Hill, Georgia

Provider Information

NPI Number
1205671278
Entity Type
Organization
Organization Name
Tamara Thorn Dmsc, Pa-C, Lcsw Psychiatric Physician Assistant Services
Subpart
Yes (part of a larger organization)
Parent Organization
TAMARA THORN DMSC, PA-C, LCSW PSYCHIATRIC PHYSICIAN ASSISTANT SERVICES
Primary Specialty
Physician Assistant
Enumeration Date
Jul 1, 2024
Last Updated
Aug 14, 2024

Practice Location

Address
45 LULLWATER DR UNIT 617
State
Georgia
ZIP Code
31324-6612
Phone
(704) 898-7837

Authorized Official

Name
DR. DR. TAMARA IDETTE THORN, PA-C, LCSW, CAADC
Title
OWNER, OPERATOR
Phone
(704) 898-7837

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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