Tatom, Angela L

Tatom, Angela L is an sole proprietor health care provider with primary practice located at 724 W 19Th St , Panama City FL 32405-4101. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Tatom, Angela L can be contacted via phone (850) 769-0278.

Contact Information

Primary practice address
724 W 19Th St Panama City FL 32405-4101
Phone: (850) 769-0278
Fax: (850) 769-6202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11007905 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11007905 Florida

Profile Details

NPI number 1275142358
LBN Legal business name Tatom, Angela L
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2020
Last updated Oct 13th, 2020 - about 6 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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