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NPI Code Detail

MEDICARE: TARSAE YEVETTE LITTLE

MEDICARE:   TARSAE YEVETTE LITTLE
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
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1134713720
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARSAE YEVETTE LITTLE
Provider Business Mailing Address
First Line : 8400 VETERANS PKWY APT 1824
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-2497
Country : US
Telephone Number : 706-358-8713
Fax Number :
Provider Business Practice Location Address
First Line : 8400 VETERANS PKWY APT 1824
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-2497
Country : US
Telephone Number : 706-358-8713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2021
Last Update Date : 02/24/2021

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Directions to “ TARSAE YEVETTE LITTLE ” Practice Location

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