Individual
MISS DOROTHY JOANN TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
448 MABE LN, STUART, VA 24171-3927
(276) 694-6296
Mailing address
448 MABE LN, STUART, VA 24171-3927
(276) 694-6296
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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