Dismuke, Tinika Ross

Dismuke, Tinika Ross is an individual health care provider with primary practice located at 7544 Metcalf Rd , Thomasville GA 31792-8638. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dismuke, Tinika Ross can be contacted via phone (229) 379-6456.

Contact Information

Primary practice address
7544 Metcalf Rd Thomasville GA 31792-8638
Phone: (229) 379-6456
Fax: (229) 226-6353
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005792 Georgia

Profile Details

NPI number 1518140763
LBN Legal business name Dismuke, Tinika Ross
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2007
Last updated Dec 8th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518140763 NPPES
Georgia MEDICAID 177434204C
Georgia MEDICAID 177434204D

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