Tamicha Ingram

NPI #1669123733 in Grovetown, Georgia

Provider Information

NPI Number: 1669123733
Entity Type: Individual
Name: Tamicha Ingram
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 11, 2022
Last Updated: Jan 11, 2022

Practice Location

Address: 4541 RALEIGH DR
City: Grovetown
State: Georgia
ZIP Code: 30813-4929
Phone: (706) 830-5194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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