Individual
TOMYIA BLACKSHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2138 DEER RUN CIRCLE, TIFTON, GA 31794
(229) 326-1126
Mailing address
2138 DEER RUN CIRCLE, TIFTON, GA 31794
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0597793025
GA
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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