NPI 1457887614
Brandon Tatum
Practice location
- Address
- 4449 Covington Hwy, Decatur, GA 30035-1214
- Phone
- (404) 254-2973
Registered specialties
Contractor
Primary
Registry record
- NPI
- 1457887614
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 May 2017
- Record last updated
- 4 Oct 2018
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.