Individual
TURENA RAPHIEL TANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1942 NORTH AVE, COLUMBUS, GA 31901-1525
(706) 596-1245
Mailing address
6419 OLD POST CT, COLUMBUS, GA 31909-3405
(706) 593-1221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN139191
GA
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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