Tabria Corprew

NPI 1700425964 · on the registry since 2020 · sole proprietor

Practice

Address: 101 Blue Moon Crossing Ste. 3
Unit 114
Pooler, GA 31322
Phone: (912) 682-1383
Organisation at this address: Publix Super Markets, Inc
Inferred from a shared address, not stated in the registry.

Additional practice sites

5205 Addison Pl, Pooler, GA

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-06-16

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