Provider Demographics
NPI:1821273426
Name:G. B. TAMRAN, INC.
Entity Type:Organization
Organization Name:G. B. TAMRAN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARKEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-545-9013
Mailing Address - Street 1:9311 AYLESBURY LN
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-0406
Mailing Address - Country:US
Mailing Address - Phone:704-545-9013
Mailing Address - Fax:704-545-9062
Practice Address - Street 1:9311 AYLESBURY LN
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-0406
Practice Address - Country:US
Practice Address - Phone:704-545-9013
Practice Address - Fax:704-545-9062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL0601001261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health