Tisa Heath
Community Health Worker in Lithonia, GA. Individual provider (NPI-1).
NPI number1265907075
StatusActive
Last updated in NPPESOct 8, 2018
Details
- NPI
- 1265907075
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tisa Heath
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 8, 2018
- Last updated
- Oct 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
2135 Tiffany LnLithonia, GA 30058-5320
Phone 678-984-4984
Mailing address
1625 Conley Rd Apt 100Conley, GA 30288-1885
Phone 404-387-3040
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