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Contact Information

FARAH OCTAVIEN, AGNP
2873 VILLAGE PARK DR E
ELLENWOOD, GA30294-5712
 Phone: 678-571-0918
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for FARAH OCTAVIEN · (Female)

NPI Number 1629629613
Status Active
Credentials AGNP
Entity Individual
Enumeration date 09/22/2019
Last updated 09/22/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # AG03190021
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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