Alvarez Tarnoff, Glenda Y
Alvarez Tarnoff, Glenda Y is an individual health care provider with primary practice located at 4030 Lawrenceville Hwy Nw Ste. 9, Lilburn GA 30047-2820. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Alvarez Tarnoff, Glenda Y can be contacted via phone (770) 921-4811.Contact Information
Primary practice address
4030 Lawrenceville Hwy Nw Ste. 9
Lilburn GA 30047-2820
Phone: (770) 921-4811
Fax: (770) 921-7943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 004183 | Georgia |
Profile Details
| NPI number | 1801958012 |
|---|---|
| LBN Legal business name | Alvarez Tarnoff, Glenda Y |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Dec 8th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801958012 | NPPES |
| Georgia | Other | 581762046 | GA CLINIC GROUP TAX I.D. |
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