Individual
TAMMY THOMPSON RABERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
128 MILLARD FARMER IND BLVD, NEWNAN, GA 30263-1090
(770) 251-2590
(404) 605-8635
Mailing address
1800 HOWELL MILL RD NW, SUITE 800, ATLANTA, GA 30318-2538
(404) 350-9853
(404) 605-8635
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN085945
GA
Other
Enumeration date
11/20/2008
Last updated
11/05/2009
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