Provider Demographics
NPI:1528617396
Name:MUNROE-ARTWELL, TAMONI
Entity type:Individual
Prefix:
First Name:TAMONI
Middle Name:
Last Name:MUNROE-ARTWELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2407 WOODVIEW CT
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-4170
Mailing Address - Country:US
Mailing Address - Phone:407-780-8822
Mailing Address - Fax:
Practice Address - Street 1:1095 MEMORY LN
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-2618
Practice Address - Country:US
Practice Address - Phone:407-780-8822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider