Tabatha Yvonne Carter
Individual provider Active NPI Counselor · Camilla, GA
NPI 1174953145 · NPPES record last updated Nov 12, 2013
Key facts
- NPI
- 1174953145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 198 S Macarthur Dr
Camilla, GA 31730-6370 - Phone
- (229) 336-2247
- NPI assigned
- Nov 12, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
198 S Macarthur Dr
Camilla, GA 31730-6370
Mailing address
198 S Macarthur Dr
Camilla, GA 31730-6370
Phone (229) 336-2247
Other providers in Camilla, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.