MEDICARE: LINDA SHERI TATUM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CSW010055	GA

General Provider Information

NPI Number	:	1487383659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA SHERI TATUM

Provider Business Mailing Address
First Line	:	1954 AIRPORT RD # 1183
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4956
Country	:	US
Telephone Number	:	770-609-5527
Fax Number	:	770-275-2885

Provider Business Practice Location Address
First Line	:	1954 AIRPORT RD # 1183
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4956
Country	:	US
Telephone Number	:	770-609-5527
Fax Number	:	770-275-2885

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2022
Last Update Date	:	03/05/2026

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Directions to “ LINDA SHERI TATUM ” Practice Location

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