Individual
JUNE TIBALEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1825 HIGHWAY 34 E STE 1200, NEWNAN, GA 30265-6416
(770) 502-2112
(770) 502-2113
Mailing address
3375 SPRING HILL PKWY SE APT 318, SMYRNA, GA 30080-6805
(443) 939-5848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
86579
GA
207P00000X
Emergency Medicine Physician
MD2017-0609
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2014
Last updated
10/12/2023
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