Individual
TIANA GAYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 RIVER PL, BRASELTON, GA 30517-5600
(770) 848-8000
Mailing address
1400 RIVER PL, BRASELTON, GA 30517-5600
(770) 848-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN303550
GA
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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