Most Relevant Information
Provider Data
| NPI Number: | 1003342544 |
| Provider Name: | TABITHA CORLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/03/2017 |
| Last Updated: | 05/03/2017 |
Provider Practice Location
1010 COMMON ST STE 500
NEW ORLEANS
LA
701122467
Practice Location Phone/Fax
| Phone: | 5043021323 |
| Fax: | 5043244573 |
Provider Mailing Location
1010 COMMON ST STE 500
NEW ORLEANS
LA
701122467
Provider Mailing Phone/Fax
| Phone: | 5043021323 |
| Fax: | 5043244573 |