Brayboy, Tara

Brayboy, Tara is an individual health care provider with primary practice located at 134 Ansley Dr Ste 400 , Dahlonega GA 30533-1642. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Brayboy, Tara can be contacted via phone (706) 864-1580.

Contact Information

Primary practice address
134 Ansley Dr Ste 400 Dahlonega GA 30533-1642
Phone: (706) 864-1580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X BP10060983 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 86673 Georgia

Profile Details

NPI number 1083148860
LBN Legal business name Brayboy, Tara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2017
Last updated Feb 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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