MS. Tamara Alisha Ivy
NPI #1316230527 in Waynesboro, Georgia
Provider Information
- NPI Number
- 1316230527
- Entity Type
- Individual
- Name
- MS. Tamara Alisha Ivy
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Enumeration Date
- May 20, 2011
- Last Updated
- May 20, 2011
Practice Location
- Address
- 138 WASHINGTON AVE
- City
- Waynesboro
- State
- Georgia
- ZIP Code
- 30830-8421
- Phone
- (706) 962-2652
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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