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1306351911
TAKEYA RENEE FOGLE
CEDARTOWN, GA
NPI
1306351911
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Other Name
TAKEYA RENEE SHEPHERD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN193378)
Enumeration Date
2017-12-05
Last Update Date
2024-04-01
Business Address
TAKEYA RENEE FOGLE NP-C
14 CHEROKEE RD
CEDARTOWN, GA 30125-4381
Phone number: 770-749-9600
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Mailing Address
TAKEYA RENEE FOGLE NP-C
221 TECHNOLOGY PKWY NW
ROME, GA 30165-1369
Phone number: 706-295-5331
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