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Tamika Fairwell

NPI 1790324911 · on the registry since 2020

Practice

Address
83 Pelham Dr
Columbus, GA 31903
Phone
(706) 332-5097

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
376K00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-06-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia