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Individual

DR. TARAYN ALESSANDRA FAIRLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD MPH

Contact information

Practice address
3650 STEVE REYNOLDS BLVD., KAISER PERMANENTE GWINNETT MEDICAL CENTER, DULUTH, GA 30096
(770) 931-6010
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7070

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
067870
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/21/2007
Last updated
03/29/2022
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