NPI 1558073163

Andrea Tatum

Practitioner Driver Americus, GA

Practice location

Address: 205 Walker St, Americus, GA 31709-3157
Phone: (229) 591-5178

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 020707065 (GA)

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Registry record

NPI: 1558073163
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Dec 2022
Record last updated: 15 Dec 2022

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.