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Tabatha Russell
NPI 1851827257 · on the registry since 2017 · sole proprietor
Practice
- Address
- 212 Bandy Rd
La Fayette, GA 30728 - Phone
- (423) 991-0034
- Organisation at this address
- Lookout Mountain Community Services
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Community/Behavioral Health Agency
251S00000X
- Sex
- Female
- Record last updated
- 2017-05-04
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