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General NPI Number Information
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NPI Number | 1134546831
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Entity Type | Individual
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Provider Name | TOMMY CURTIS NP
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Gender | Male
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 824 GI MADDOX PKWY
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City | CHATSWORTH
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State | GA
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Zip | 30705-2147
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Country | US
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Telephone | 706-695-0561
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12938 C/O CLINIC MANAGEMENT
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City | CALHOUN
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State | GA
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Zip | 30703
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Country | US
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Telephone | 706-602-7800
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN-NP199165
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN-NP199165
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License Number State | GA
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