Individual
TAYANA BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(404) 610-0205
Mailing address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN252118
GA
363L00000X
Nurse Practitioner
Primary
RN252118
GA
Other
Enumeration date
07/23/2024
Last updated
10/22/2024
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