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1821149139
TABATHA PESHEL
HIRAM, GA
NPI
1821149139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA 115803)
Enumeration Date
2007-01-15
Last Update Date
2022-07-06
Business Address
TABATHA PESHEL NP
148 BILL CARRUTH PKWY SUITE 100
HIRAM, GA 30141-3754
Phone number: 678-324-4444
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Mailing Address
TABATHA PESHEL NP
100 STONEFOREST DR STE 130
WOODSTOCK, GA 30189-4881
Phone number: 678-388-1610
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