NPI 1053913475

Tashanda King

Practitioner Community Health Worker Augusta, GA

Practice location

Address: 3526 Melody Dr, Augusta, GA 30906-9533
Phone: (478) 268-1894

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Georgia →

Registry record

NPI: 1053913475
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Nov 2020
Record last updated: 10 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.