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Tangi Gantt

NPI 1831068881 · on the registry since 2025 · sole proprietor

Practice

Address
104 Southgate Blvd
Mcdonough, GA 30253
Phone
(404) 914-1300
Fax
(404) 914-1300

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia