Search › Georgia › 225700000X
Tabitha Macon
NPI 1316563059 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2045 Dutchess Rd
Lithia Springs, GA 30122 - Phone
- (770) 356-9703
- Organisation at this address
- Divine Health And Wellness
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia