TAKEYA RENEE FOGLE

CEDARTOWN, GA
NPI1306351911
Other NameTAKEYA RENEE SHEPHERD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN193378)
Enumeration Date2017-12-05
Last Update Date2024-04-01
Business Address
TAKEYA RENEE FOGLE NP-C
14 CHEROKEE RD
CEDARTOWN, GA 30125-4381
Phone number: 770-749-9600
Mailing Address
TAKEYA RENEE FOGLE NP-C
221 TECHNOLOGY PKWY NW
ROME, GA 30165-1369
Phone number: 706-295-5331
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