NATHAN TRAVIS FANT

ACWORTH, GA
NPI1275183923
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN239986)
Enumeration Date2019-09-16
Last Update Date2019-09-16
Business Address
NATHAN TRAVIS FANT
4550 COBB PARKWAY NORTH NW STE 101
ACWORTH, GA 30101-4181
Phone number: 770-917-8140
Mailing Address
NATHAN TRAVIS FANT
5629 WOOLWICH LN NW
ACWORTH, GA 30101-6914
Phone number: 678-478-7542
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