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Individual

TASMIN FANNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
44 KROG STREET NORTHEAST, 518, ATLANTA, GA 30307-3030
(434) 806-8470
Mailing address
44 KROG STREET NORTHEAST, 518, ATLANTA, GA 30307

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHIR099224
GA

Other

Enumeration date
03/07/2018
Last updated
03/07/2018
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