Individual
LARICTOR TOMLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B. S.
Contact information
Practice address
1871 HEATHERS WAY, AUGUSTA, GA 30906-8110
(706) 504-4494
(706) 504-4494
Mailing address
1871 HEATHERS WAY, AUGUSTA, GA 30906-8110
(706) 504-4494
(706) 504-4494
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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