Healthcare Provider Details

I. General information

NPI: 1811614688
Provider Name (Legal Business Name): BRITTANY TAGGART FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2022
Last Update Date: 10/24/2022
Certification Date: 10/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2710 OLD MILTON PKWY STE 150
ALPHARETTA GA
30009-2223
US

IV. Provider business mailing address

1080 HEATHERLAND DR NE
MARIETTA GA
30066-0020
US

V. Phone/Fax

Practice location:
  • Phone: 770-274-9511
  • Fax:
Mailing address:
  • Phone: 404-661-8355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN214288
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: