Doctor Name: | MRS. KRISTEN LEIGH TINKER |
NPI Number: | 1083869887 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 004501 |
Business Practice Address: | 5471 Chamblee Dunwoody Rd Dunwoody, GA - 303384114 |
Business Phone Number: | 7704810889 |
Business Fax Number: | 7704810986 |
Mailing Address: | 5471 Chamblee Dunwoody Rd, DUNWOODY |
State: | GA |
Postal Code: | 303384114 |
Phone Number: | 7704810889 |
Fax Number: | 7704810986 |
NPI Enumeration Date: | 11/20/2008 |
NPI Last Update Date: | 11/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 004501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |