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1669071866
TARA BUCKHALTER
ATLANTA, GA
NPI
1669071866
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA RN212433)
Enumeration Date
2020-10-20
Last Update Date
2024-10-01
Business Address
TARA BUCKHALTER CPNP
1150 LAKE HEARN DRIVE
ATLANTA, GA 30342
Phone number: 954-594-6520
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Mailing Address
TARA BUCKHALTER CPNP
4263 GLENGARY DRIVE NE
ATLANTA, GA 30342
Phone number: 954-594-6520
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