Individual
TAMISHA T SPRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 QUEEN VICTORIA CT, LOCUST GROVE, GA 30248-3656
(678) 834-3148
Mailing address
1716 QUEEN VICTORIA CT, LOCUST GROVE, GA 30248-3656
(678) 834-3148
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CN00028840194
GA
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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