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Anny Tavarez

NPI 1821899881 · on the registry since 2025 · sole proprietor

Practice

Address
2599 Windsor Knoll Dr
Dacula, GA 30019
Phone
(678) 724-9573

Registry record

Primary taxonomy
171R00000X
171R00000X
Also registered as
104100000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-24

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