Individual
TARA ELIZABETH CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
736 W BANKHEAD HWY, VILLA RICA, GA 30180-1501
(866) 389-2727
Mailing address
736 W BANKHEAD HWY, VILLA RICA, GA 30180-1501
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00720700
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
RN295563
GA
Other
Enumeration date
04/01/2017
Last updated
08/07/2024
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