Whalio Doctors

NPI 1407114291

Nana Yaa Tackie, MD

Practitioner Emergency Medicine Physician Norcross, GA

Practice location

Address
5825 Buford Hwy STE 300, Norcross, GA 30071-2504
Phone
(770) 209-2787
Mailing address
1027 Washington Ave, Detroit Lakes, MN 56501-3409

Registered specialties (3)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 69976 (GA)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 106015 (MN)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 69976 (GA)

Registry record

NPI
1407114291
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Apr 2012
Record last updated
18 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.