Organization · Type 2 NPI
T.a.g. It Healthcare Solutions
Family Nurse Practitioner · Hephzibah, GA
NPI number
1962255802
Active
Practice location
2857 Tobacco Rd Ste 4
Hephzibah, GA 30815-9004
Fax (866) 206-1970
Mailing address
411 36th St Unit 8124
Fort Eisenhower, GA 30905-7753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse | 163WC0400X | None listed |
| General Practice Registered Nurse | 163WG0000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1962255802
T.a.g. It Healthcare Solutions's National Provider Identifier is 1962255802, issued on Apr 10, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hephzibah, GA. The record was last updated on Aug 19, 2025.