Individual
TAMMY POLITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 SEMINOLE TRL, FORT MITCHELL, AL 36856-6801
(229) 291-6617
Mailing address
105 SEMINOLE TRL, FORT MITCHELL, AL 36856-6801
(229) 291-6617
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN077067
GA
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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