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NPI Code Detail

MEDICARE: INDIA TAMAYA FITZ

MEDICARE: INDIA TAMAYA FITZ
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
1363LG0600XGerontology Nurse Practitioner11039827FL
2363LA2200XAdult Health Nurse PractitionerGAA-NP003653GA

General Provider Information

NPI Number : 1124811302
Entity Type Code : Individual
Provider Name (Legal Business Name) : INDIA TAMAYA FITZ
Provider Business Mailing Address
First Line : PO BOX 746765
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6765
Country : US
Telephone Number : 770-914-0116
Fax Number : 770-995-4278
Provider Business Practice Location Address
First Line : 1046 RIDGE AVE SW # 4
Second Line :
City : ATLANTA
State : GA
Zip : 30315-1640
Country : US
Telephone Number : 850-755-0018
Fax Number : 850-755-0018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2025
Last Update Date : 03/27/2026

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Directions to “ INDIA TAMAYA FITZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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