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Angelica Lynn Tabb
Specialist in Leesburg, Georgia
NPI 1578253175

Angelica Lynn Tabb is a Specialist based in Leary, GA. Angelica Lynn Tabb practices in Leesburg, GA. The NPI Number for Angelica Lynn Tabb is 1578253175 and holds a License No. 088000002 (Georgia).

The current practice location address for Angelica Lynn Tabb is 104 Century Rd E Ste C, Leesburg, GA and can be reached out via phone at 229-809-0810.

Location: 104 Century Rd E Ste C, Leesburg, GA, 39862-7518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578253175
Provider Name
Angelica Lynn Tabb
Credential
Provider Entity Type
Individual
Gender
Female
Address
104 Century Rd E Ste C, Leesburg, GA, 39862-7518
Phone Number
229-809-0810
Fax Number
Provider Enumeration Date
05/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
104 Century Rd E Ste C
City
Leesburg
State
Georgia
Zip
31763-4463
Phone Number
229-809-0810
Fax Number
person
Provider Business Mailing Address Details
Address
104 Century Rd E Ste C
City
Leesburg
State
Georgia
Zip
31763-4463
Phone Number
229-809-0810
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
088000002 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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