Sane, Tara Amos

Sane, Tara Amos is an individual health care provider with primary practice located at 500 Green Rd , Chatsworth GA 30705-2745. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sane, Tara Amos can be contacted via phone (706) 517-2200.

Contact Information

Primary practice address
500 Green Rd Chatsworth GA 30705-2745
Phone: (706) 517-2200
Fax: (706) 517-4280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 170471 Georgia

Profile Details

NPI number 1417204132
LBN Legal business name Sane, Tara Amos
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2012
Last updated Apr 21st, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417204132 NPPES
Other GRP4720 GROUP MEDICARE NUMBER
MEDICAID 003126925E GROUP MEDICARE NUMBER

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