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ANGELICA LYNN TABB
NPI 1578253175
Specialist in Leesburg, GA

Active since May 09, 2023
104 CENTURY RD E STE C, LEESBURG, GA 31763(229) 809-0810 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Angelica Lynn Tabb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELICA LYNN TABB (NPI 1578253175) is an individual specialist in Leesburg, Georgia, licensed in Georgia (088000002) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1578253175
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameANGELICA LYNN TABB
Location Address104 CENTURY RD E STE CLeesburg, GA 31763-4463
Mailing Address1394 Milford Church RdLeary, GA 39862-7518 · (229) 809-0810
Phone(229) 809-0810
Sole ProprietorYes
Enumeration DateMay 9, 2023
NPPES CertifiedMay 9, 2023
✔ NPI 1578253175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 088000002
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
104 CENTURY RD E STE C, Leesburg, GA 31763
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelica Tabb's NPI number?

The NPI number for Angelica Tabb is 1578253175. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Where is Angelica Tabb located?

Angelica Tabb practices at 104 Century Rd E Ste C, Leesburg, GA 31763. The listed phone number is (229) 809-0810.

What is Angelica Tabb's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Angelica Tabb was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.