Individual
TANYA KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 FOREST RIDGE DR, SAVANNAH, GA 31419-1251
(912) 944-8319
(912) 927-3573
Mailing address
114 FOREST RIDGE DR, SAVANNAH, GA 31419-1251
(912) 944-8319
(912) 927-3573
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN121089
GA
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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