Provider Demographics
NPI:1972946101
Name:TODD, TABITHA ERIN (DC)
Entity type:Individual
Prefix:
First Name:TABITHA
Middle Name:ERIN
Last Name:TODD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6605 ABERCORN ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5896
Mailing Address - Country:US
Mailing Address - Phone:912-358-0200
Mailing Address - Fax:
Practice Address - Street 1:6605 ABERCORN ST STE 100
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5896
Practice Address - Country:US
Practice Address - Phone:912-358-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009095111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor