Individual
TINA FABAYO WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4030 N HENRY BLVD, SUITE 101, STOCKBRIDGE, GA 30281-7413
(678) 284-9010
Mailing address
4030 N HENRY BLVD, SUITE 101, STOCKBRIDGE, GA 30281-7413
(678) 284-9010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/08/2007
Last updated
07/09/2007
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