Provider Demographics
NPI:1326283268
Name:TAFFIN, BRIAN L (RPH)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:L
Last Name:TAFFIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SILVER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-4213
Mailing Address - Country:US
Mailing Address - Phone:678-454-5769
Mailing Address - Fax:678-454-5769
Practice Address - Street 1:101 SILVER CREEK DR
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-4213
Practice Address - Country:US
Practice Address - Phone:678-454-5769
Practice Address - Fax:678-454-5769
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-05
Last Update Date:2008-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH0150971835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric