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NPI Code Detail

MEDICARE: TURENA RAPHIEL TANTE

MEDICARE:   TURENA RAPHIEL TANTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerRN139191GA

General Provider Information

NPI Number : 1649872250
Entity Type Code : Individual
Provider Name (Legal Business Name) : TURENA RAPHIEL TANTE
Provider Business Mailing Address
First Line : 6419 OLD POST CT
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-3405
Country : US
Telephone Number : 706-593-1221
Fax Number :
Provider Business Practice Location Address
First Line : 1942 NORTH AVE
Second Line :
City : COLUMBUS
State : GA
Zip : 31901-1525
Country : US
Telephone Number : 706-596-1245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2020
Last Update Date : 11/10/2020

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Directions to “ TURENA RAPHIEL TANTE ” Practice Location

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