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EUGENIA TARAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAA

Contact information

Practice address
2122 MANCHESTER EXPY, COLUMBUS, GA 31904-6878
(705) 596-4000
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 279-1660

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001720
GA
367H00000X
Anesthesiologist Assistant
Primary
001720
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100000259B
GA
Enumeration date
05/01/2006
Last updated
06/07/2016
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