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Individual

MS. TINA MARIE SNOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
420 RIDGE AVE N, TIFTON, GA 31794-4326
(229) 339-0540
Mailing address
420 RIDGE AVE N, TIFTON, GA 31794-4326
(229) 339-0540

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT007126
GA

Other

Enumeration date
04/20/2012
Last updated
05/03/2012
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