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Tamicha Ingram

Student in an Organized Health Care Education/Training Program in Grovetown, GA. Individual provider (NPI-1).

NPI number1669123733
StatusActive
Last updated in NPPESJan 11, 2022

Details

NPI
1669123733
Entity type
Individual (NPI-1)
Name
Tamicha Ingram
Sex
Female
Sole proprietor
No
Enumeration date
Jan 11, 2022
Certification date
Jan 11, 2022
Last updated
Jan 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

4541 Raleigh Dr
Grovetown, GA 30813-4929

Phone 706-830-5194

Mailing address

4541 Raleigh Dr
Grovetown, GA 30813-4929

Phone 706-830-5194

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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