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
- City
- Richmond Hill
- 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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