Provider Demographics
NPI:1417398215
Name:TAHIL, SAMIA (HHC)
Entity Type:Individual
Prefix:
First Name:SAMIA
Middle Name:
Last Name:TAHIL
Suffix:
Gender:F
Credentials:HHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 SPENCE CT
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-2196
Mailing Address - Country:US
Mailing Address - Phone:678-558-5079
Mailing Address - Fax:
Practice Address - Street 1:2821 SPENCE CT
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019
Practice Address - Country:US
Practice Address - Phone:678-558-5079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health