Individual
BRENDALYNE FACIA TAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
361 RESOURCE PKWY, WINDER, GA 30680-8364
(770) 291-0419
(240) 348-8500
Mailing address
595 HURRICANE SHOALS RD NW, STE 100, LAWRENCEVILLE, GA 30046-8762
(404) 645-7150
(678) 433-9152
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN207407
GA
Other
Enumeration date
09/06/2020
Last updated
01/13/2021
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