Individual
COMEKA TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 12TH ST, COLUMBUS, GA 31901-2522
(706) 494-7776
(706) 494-7076
Mailing address
1400 BOXWOOD BLVD, # 3114, COLUMBUS, GA 31906-2327
(706) 939-4556
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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