Individual
TANJA MARIE PETROFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT-B
Contact information
Practice address
1061 HARMON AVE, WINN PRIMARY CARE CLINIC, FORT STEWART, GA 31314-5641
(912) 435-6878
Mailing address
22 HABERSHAM ST, FORT STEWART, GA 31315-1800
(912) 463-3734
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E1898624
—
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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