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Individual

PHILIP GAROFANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1395 S MARIETTA PKWY SE, MARIETTA, GA 30067-4440
(678) 878-2950
Mailing address
8901 STONEBRIDGE BLVD STE 100, DOUGLASVILLE, GA 30134-2210
(678) 838-3000

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN220604
GA
363LC0200X
Critical Care Medicine Nurse Practitioner
RN220604
GA
363LF0000X
Family Nurse Practitioner
RN220604
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN220604
APRN LICENSE
GA
Enumeration date
10/18/2016
Last updated
07/21/2022
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