Individual
TAMEKA JIMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 RIDGE AVE N, TIFTON, GA 31794-3436
(229) 457-7561
Mailing address
1405 RIDGE AVE N, TIFTON, GA 31794-3436
(229) 457-7561
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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