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TARA ELIZABETH BROWN NP

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

Registrant NPI Number: 1952728651

Individual Registrant:
 TARA ELIZABETH BROWN NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
12192 AUGUSTA RD  LAVONIA, GA 30553-1209 US
Tel: 706-356-1072  Fax: 706-356-1457

Contact information for business:
PO BOX 742616  ATLANTA, GA 30374-2616 US
Tel: 770-219-8420  Fax: --

Registration Information:
NPI: 1952728651
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
SCAPN.18738
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GARN191398

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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