Search › Georgia › 363LP0200X
Tara Buckhalter, CPNP
NPI 1669071866 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1150 Lake Hearn Drive
Atlanta, GA 30342 - Phone
- (954) 594-6520
- Clinicians at this address
- 4
Additional practice sites
- 1405 Clifton Rd Ne, Atlanta, GA
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-01
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