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ARTHUR S TAICH FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1649274291

Individual Registrant:
 ARTHUR S TAICH FNP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
79 HOLDER RD  LUMPKIN, GA 31815 US
Tel: 229-838-1252  Fax: 229-838-1242

Contact information for business:
79 HOLDER RD  LUMPKIN, GA 31815 US
Tel: 662-838-2163  Fax: 662-838-7944

Registration Information:
NPI: 1649274291
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FLARNP2951862
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
NMR44069

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
03733868MS05




HEALTH CARE JOBS GA - Page 1



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