Tara Austin Fogle in Fayetteville - General Practice
Tara Austin Fogle - NPI 1073779773
Tara Austin Fogle is a General Practice in Fayetteville, Georgia. Tara Austin Fogle practices all healthcare services and medical treatments related to General Practice. The NPI Number for Tara Austin Fogle is 1073779773. The last update date is 2021-01-06.
Tara Austin Fogle's current location address is 98 N Park Dr, Fayetteville, Georgia. You can contact this provider via phone number 7704611141 and fax number 7704611143. The mailing address for Tara Austin Fogle is 98 N Park Dr, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Austin Fogle |
|---|---|
| Address | 98 N Park Dr, Fayetteville, Georgia |
| Phone Number | 7704611141 |
| Fax Number | 7704611143 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1073779773 |
|---|---|
| Provider Enumeration Date | 2008-08-01 |
| Last Updated Date | 2021-01-06 |
Provider Mailing Address Detail
| Address | 98 N Park Dr |
|---|---|
| City | Fayetteville |
| State | Georgia (GA) |
| Post Code | 302141645 |
| Phone Number | 7704611141 |
| Fax Number | 7704611143 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN013610 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code issued to Tara Austin Fogle by the Centers for Medicare & Medicaid Services?
The Tara Austin Fogle has been assigned the NPI (National Provider Identifier) 1073779773 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Tara Austin Fogle's physical address?
The Tara Austin Fogle is physically located at 98 N Park Dr, in the city of Fayetteville, GA, with the postal code 302141645.
What is Tara Austin Fogle's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tara Austin Fogle's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073779773 to Tara Austin Fogle?
The Tara Austin Fogle received its 1073779773 assignment from the Centers for Medicare & Medicaid Services on 2008-08-01.
When was the information pertaining to Tara Austin Fogle most recently updated or revised?
The details related to Tara Austin Fogle, including its address, specialty, and other relevant information, were last updated or revised on 2021-01-06.
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