Individual
TARA SMITH BRANYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 542-0333
(706) 542-9693
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 542-0333
(706) 542-9693
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN147183
GA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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