Individual
DR. TARA AUSTIN FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
98 N PARK DR, FAYETTEVILLE, GA 30214-1645
(770) 461-1141
(770) 461-1143
Mailing address
98 N PARK DR, FAYETTEVILLE, GA 30214-1645
(770) 461-1141
(770) 461-1143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013610
GA
Other
Enumeration date
08/01/2008
Last updated
01/06/2021
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