Tara Lynn Favis NP-C

NPI 1013279132 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1013279132
Gender Female
Enumeration Date 06/14/2012
Last Updated 06/30/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
9925 HAYNES BRIDGE RD
SUITE 320
ALPHARETTA GA, 30022-8532, US
Phone (770) 777-7495
Fax
Business Location
2027 FERRY DR
MARIETTA GA, 30066-6252, US
Phone (678) 467-5179
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Georgia
License Number RN195879
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According to our database, Ms. Tara Lynn Favis NP-C NPI is 1013279132, taxonomy code is 363LF0000X and license number is RN195879, license state is located at Georgia. Tara Lynn Favis NP-C physically located at 9925 Haynes Bridge Rd, Alpharetta GA, 30022-8532. NPI Number Tara Lynn Favis NP-C has the Individual type.

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1013279132 NPI number is provided on an as is basis without warranty of any kind. 1013279132 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Lynn Favis NP-C are for informational purposes only.