Provider Demographics
NPI:1336394238
Name:RABERN, TAMMY THOMPSON (NP)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:THOMPSON
Last Name:RABERN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1800 HOWELL MILL RD NW
Mailing Address - Street 2:SUITE 800
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2538
Mailing Address - Country:US
Mailing Address - Phone:404-350-9853
Mailing Address - Fax:404-605-8635
Practice Address - Street 1:128 MILLARD FARMER IND BLVD
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30263-1090
Practice Address - Country:US
Practice Address - Phone:770-251-2590
Practice Address - Fax:404-605-8635
Is Sole Proprietor?:No
Enumeration Date:2008-11-20
Last Update Date:2009-11-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN085945363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health