Individual
CONSTANCE OFUNDEM TAKANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
MINUTECLINIC #7214, 2305 HIGHWAY 34 E, NEWNAN, GA 30265
(678) 423-1043
Mailing address
MINUTECLINIC #7214, 2305 HIGHWAY 34 E, NEWNAN, GA 30265
(678) 423-1043
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F03200096
GA
Other
Enumeration date
07/22/2020
Last updated
07/30/2021
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