SearchGeorgia363L00000X

Tabitha Ford

NPI 1538768965 · on the registry since 2020

Practice

Address
110 Shorter St Lot 9
Ty Ty, GA 31795
Phone
(229) 256-7374

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-10-16

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