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Search › Georgia › 363LF0000X

Edwige Konwo-Tayo

NPI 1538646526 · on the registry since 2018

Practice

Address
1183 S Hairston Rd Ste A
Stone Mountain, GA 30088
Phone
(404) 296-8858
Organisation at this address
Forthright Enterprises, Inc
Mountain Specialty Pharmacy Llc
Stone Mountain Family Medicine Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
207P00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia