Individual
NATHANIEL TUOPAEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
98 LANTHIER ST, WINDER, GA 30680-2072
(706) 389-6789
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 384-6789
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN131232
GA
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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