Most Relevant Information
Provider Data
| NPI Number: | 1003696584 |
| Provider Name: | MARY MARGARET TARDY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/03/2023 |
| Last Updated: | 10/03/2023 |
Provider Practice Location
4045 ORCHARD RD SE STE 110
SMYRNA
GA
300804904
Practice Location Phone/Fax
| Phone: | 7702931950 |
| Fax: |
Provider Mailing Location
4045 ORCHARD RD SE STE 110
SMYRNA
GA
300804904
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |