NPI 1295506756

Tomyia Blackshear

Practitioner Case Manager/Care Coordinator Tifton, GA

Practice location

Address: 2138 Deer Run Circle, Tifton, GA 31794
Phone: (229) 326-1126

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence 0597793025 (GA)

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Registry record

NPI: 1295506756
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2024
Record last updated: 12 Jan 2024

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.