Fant, Nathan Travis

Fant, Nathan Travis is an individual health care provider with primary practice located at 4550 Cobb Parkway North Nw Ste 101 , Acworth GA 30101-4181. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Fant, Nathan Travis can be contacted via phone (770) 917-8140.

Contact Information

Primary practice address
4550 Cobb Parkway North Nw Ste 101 Acworth GA 30101-4181
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN239986 Georgia

Profile Details

NPI number 1275183923
LBN Legal business name Fant, Nathan Travis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2019
Last updated Sep 16th, 2019 - about 5 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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