Provider Demographics
NPI:1881666006
Name:TAMMARO, JAMES A (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:TAMMARO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:517 GREAT OAKS DR STE 101
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30655-8229
Mailing Address - Country:US
Mailing Address - Phone:770-267-4561
Mailing Address - Fax:770-267-8061
Practice Address - Street 1:517 GREAT OAKS DR STE 101
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30655-8229
Practice Address - Country:US
Practice Address - Phone:770-267-4561
Practice Address - Fax:770-267-8061
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2022-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA90743207W00000X
NY287753207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBT2413716OtherDEA
NY287753OtherLICENSE
NY04698326Medicaid
AZ137689Medicaid
AZAZ0345150OtherBCBS