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Tabatha Nikita Lane
Student in an Organized Health Care Education/Training Program in Stone Mountain, Georgia
NPI 1306581517

Tabatha Nikita Lane is a Student in an Organized Health Care Education/Training Program based in Stone Mountain, GA. Tabatha Nikita Lane practices in Stone Mountain, GA. The NPI Number for Tabatha Nikita Lane is 1306581517 and holds a License No. (Georgia).

The current practice location address for Tabatha Nikita Lane is 503 Whitney Chase, Stone Mountain, GA and can be reached out via phone at 786-548-5154.

Location: 503 Whitney Chase, Stone Mountain, GA, 30088-4232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306581517
Provider Name
Tabatha Nikita Lane
Credential
Provider Entity Type
Individual
Gender
Female
Address
503 Whitney Chase, Stone Mountain, GA, 30088-4232
Phone Number
786-548-5154
Fax Number
Provider Enumeration Date
05/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
503 Whitney Chase
City
Stone Mountain
State
Georgia
Zip
30088-4232
Phone Number
786-548-5154
Fax Number
person
Provider Business Mailing Address Details
Address
503 Whitney Chase
City
Stone Mountain
State
Georgia
Zip
30088-4232
Phone Number
786-548-5154
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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