MEDICARE: TAWANA TARBEART

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	PHCP043373	GA

General Provider Information

NPI Number	:	1942162458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAWANA TARBEART

Provider Business Mailing Address
First Line	:	3249 BIRCHHAVEN TRCE
Second Line	:
City	:	POWDER SPRINGS
State	:	GA
Zip	:	30127-9038
Country	:	US
Telephone Number	:	805-844-2737
Fax Number	:

Provider Business Practice Location Address
First Line	:	5745 WENDY BAGWELL PKWY STE 25
Second Line	:
City	:	HIRAM
State	:	GA
Zip	:	30141-2885
Country	:	US
Telephone Number	:	678-400-7771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ TAWANA TARBEART ” Practice Location

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