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Individual

ARTHUR S TAICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
79 HOLDER RD, LUMPKIN, GA 31815
(229) 838-1252
(229) 838-1242
Mailing address
79 HOLDER RD, LUMPKIN, GA 31815
(662) 838-2163
(662) 838-7944

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP2951862
FL
363LF0000X
Family Nurse Practitioner
R44069
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03733868
MS
Enumeration date
06/10/2005
Last updated
07/02/2013
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