Individual
RENARDA S. TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14089 ABERCORN ST, SAVANNAH, GA 31419-1966
(912) 350-2121
(912) 350-2145
Mailing address
14089 ABERCORN ST, SAVANNAH, GA 31419-1966
(912) 350-2121
(912) 350-2145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005847
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051825744B
—
GA
05
—
051825744C
—
GA
05
—
051825744E
—
GA
05
—
1606PA
—
SC
01
—
P01168976
RAILROAD MEDICARE
GA
Enumeration date
12/11/2008
Last updated
09/12/2014
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