| Mrs Angela Leanne Tatum, PHYSICAL THERAPIST | |
|
4147 Straight Gut Rd, La Fayette, GA 30728-6749 | |
| (706) 764-2951 | |
| (706) 764-2951 |
| Full Name | Mrs Angela Leanne Tatum |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4147 Straight Gut Rd, La Fayette, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356409528 | NPI | - | NPPES |
| 4109529 | Other | BCBS TN | |
| 00740275B | Medicaid | GA | |
| 10052428 | Other | AMERIGROUP | |
| 339895 | Other | WELLCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT002912 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Angela Leanne Tatum, PHYSICAL THERAPIST 4147 Straight Gut Rd, La Fayette, GA 30728-6749 Ph: (706) 764-2951 | Mrs Angela Leanne Tatum, PHYSICAL THERAPIST 4147 Straight Gut Rd, La Fayette, GA 30728-6749 Ph: (706) 764-2951 |
Ms. Latefa Nichelle Terry, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 W Villanow St, La Fayette, GA 30728 Phone: 706-638-5983 | |
Carter Grant, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Pearl Dr Ste 104, La Fayette, GA 30728 Phone: 706-638-3880 Fax: 706-638-3890 | |
Courtney Durham, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Pearl Dr Ste 104, La Fayette, GA 30728 Phone: 706-638-3880 | |
Matthew Parker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Pearl Dr Ste 104, La Fayette, GA 30728 Phone: 706-638-3880 Fax: 706-638-3890 | |
Lauren Taylor Shank, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Pearl Dr, Suite 104, La Fayette, GA 30728 Phone: 706-638-3880 Fax: 706-638-3890 | |
Holli Guthrie, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 106 Pearl Dr Ste 104, La Fayette, GA 30728 Phone: 706-638-3880 Fax: 706-638-3890 |