Organization
TELEVATECOMP CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE RENEE TAMBASCO NP (PROVIDER)
(770) 309-5891
Entity
Organization
Contact information
Practice address
210 TRILITH PKWY, FAYETTEVILLE, GA 30214-4616
(770) 309-5891
Mailing address
2870 PEACHTREE RD NW # 915-4329, ATLANTA, GA 30305-2918
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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