SearchGeorgia163WC1500X

Tanya Kidd

NPI 1467826289 · on the registry since 2015 · sole proprietor

Practice

Address
114 Forest Ridge Dr
Savannah, GA 31419
Phone
(912) 944-8319
Fax
(912) 927-3573

Registry record

Primary taxonomy
163WC1500X
163WC1500X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-11-17

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