Peshel, Tabatha

Peshel, Tabatha is an individual health care provider with primary practice located at 148 Bill Carruth Pkwy Suite 100, Hiram GA 30141-3754. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Peshel, Tabatha can be contacted via phone (678) 324-4444.

Contact Information

Primary practice address
148 Bill Carruth Pkwy Suite 100 Hiram GA 30141-3754
Phone: (678) 324-4444
Fax: (770) 528-9932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 115803 Georgia

Profile Details

NPI number 1821149139
LBN Legal business name Peshel, Tabatha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Jul 6th, 2022 - about 4 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 1821149139 NPPES
Georgia MEDICAID 115511749C
Georgia MEDICAID 115511749E
Georgia MEDICAID 115511749G
Georgia MEDICAID 115511749D
Georgia MEDICAID 115511749F

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