Individual
NATASHA CHARLETTE TELFAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 ARBOR COVE WAY, STOCKBRIDGE, GA 30281-6443
(727) 492-5154
Mailing address
130 ARBOR COVE WAY, STOCKBRIDGE, GA 30281-6443
(727) 492-5154
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CL0211792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060577752
DRIVERS LICENSE
GA
Enumeration date
02/27/2018
Last updated
02/27/2018
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