Individual
TENNIEL SINGLETON-THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
533 TROTTERS LN SE, CONYERS, GA 30094-4189
(678) 661-1803
Mailing address
PO BOX 83446, CONYERS, GA 30013-9445
(404) 838-6326
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
GA
171W00000X
Contractor
—
GA
172A00000X
Driver
Primary
058510994
GA
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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