person
Glenda Y Alvarez Tarnoff, PA-C
Medical Physician Assistant in Lilburn, Georgia
NPI 1801958012

Glenda Y Alvarez Tarnoff is a Medical Physician Assistant based in Roswell, GA and is specialized in Medical. Glenda Y Alvarez Tarnoff practices in Lilburn, GA and has the professional credentials of PA-C. The NPI Number for Glenda Y Alvarez Tarnoff is 1801958012 and holds a License No. 004183 (Georgia).

The current practice location address for Glenda Y Alvarez Tarnoff is 4030 Lawrenceville Hwy Nw, Lilburn, GA and can be reached out via phone at 770-921-4811 and via fax at 770-921-7943.

Location: 4030 Lawrenceville Hwy Nw, Lilburn, GA, 30076-8224
person
Provider Profile Details
NPI Number
1801958012
Provider Name
Glenda Y Alvarez Tarnoff
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4030 Lawrenceville Hwy Nw, Lilburn, GA, 30076-8224
Phone Number
770-921-4811
Fax Number
770-921-7943
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
581762046 01 GA GA CLINIC GROUP TAX I.D.
institution
Provider Business Practice Location Address Details
Address
4030 Lawrenceville Hwy Nw
City
State
Zip
30047-2820
Phone Number
770-921-4811
Fax Number
770-921-7943
person
Provider Business Mailing Address Details
Address
4030 Lawrenceville Hwy Nw
City
State
Zip
30047-2820
Phone Number
770-921-4811
Fax Number
770-921-7943
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004183 (Georgia)
Definition
Definition to come...
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