Individual
MS. CHERYL WILLIAMS TOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
488 ROCK SHADOW CT, STONE MOUNTAIN, GA 30087-5641
(770) 498-1443
(770) 498-7132
Mailing address
488 ROCK SHADOW CT, STONE MOUNTAIN, GA 30087-5641
(770) 498-1443
(770) 498-7132
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00888291A
—
GA
Enumeration date
01/02/2007
Last updated
07/08/2007
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