Individual
MRS. TABITHA PAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 GUS PAULK RD, AMBROSE, GA 31512-3408
(912) 327-4967
Mailing address
1095 GUS PAULK RD, AMBROSE, GA 31512-3408
(912) 327-4967
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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