License holder summary

TANTISATTAMO, EKAMOL is a Medical - Resident Physician licensed to practice in Georgia. The address on file for TANTISATTAMO, EKAMOL is 1648 PIERCE DR | SUITE 327, Atlanta 30322. This doctor license is not current. The license was granted 04/22/2010 and expired on 06/30/2014.

Georgia

Composite Medical Board

TANTISATTAMO, EKAMOL
Medical - Resident Physician
License number
004119
Date granted
04/22/2010
Date expires
06/30/2014
Class
Medical - Resident Physician
Status
Lapsed
Address
1648 PIERCE DR | SUITE 327
georgiadoctors.net
ID 38121014
LAST UPDATED 2026-06-03 09:30:53 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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