Individual
KARLENE TABANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 SHERWOOD LN SE, MARIETTA, GA 30067-4035
(470) 526-4006
Mailing address
289 JONESBORO RD STE 744, MCDONOUGH, GA 30253-3725
(470) 526-4002
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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