NPI 1720710114

Cheryl Tisdale

Practitioner Driver Covington, GA

Practice location

Address: 90 Rivermist Dr, Covington, GA 30014-1080
Phone: (470) 327-8508
Fax: (678) 660-3692

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 049192828 (GA)

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Registry record

NPI: 1720710114
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2022
Record last updated: 25 Jun 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.