Favis, Tara

Favis, Tara is an individual health care provider with primary practice located at 7869 Villa Rica Hwy , Dallas GA 30157-8638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Favis, Tara can be contacted via phone (770) 459-8449.

Contact Information

Primary practice address
7869 Villa Rica Hwy Dallas GA 30157-8638
Phone: (770) 459-8449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN195879 Georgia

Profile Details

NPI number 1013279132
LBN Legal business name Favis, Tara
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2012
Last updated Feb 13th, 2023 - about 3 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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