Tina Baker Ivey CRC

NPI 1093837452 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1093837452
Gender Female
Enumeration Date 04/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
420 ACADEMY AVE
DUBLIN GA, 31021-5222, US
Phone (478) 275-0679
Fax (478) 275-0913
Business Location
907 HIGHLAND AVE
DUBLIN GA, 31021-4815, US
Phone (478) 275-0679
Fax (478) 275-0913
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Mrs. Tina Baker Ivey CRC NPI is 1093837452, taxonomy code is 171M00000X Tina Baker Ivey CRC physically located at 420 Academy Ave, Dublin GA, 31021-5222. NPI Number Tina Baker Ivey CRC has the Individual type.

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1093837452 NPI number is provided on an as is basis without warranty of any kind. 1093837452 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Baker Ivey CRC are for informational purposes only.