Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelica Lynn Tabb

Individual provider Specialist · NPI 1578253175

Angelica Lynn Tabb is a Specialist in Leesburg, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023

Practice location Address checks out

104 Century Rd E Ste C
Leesburg, GA 31763-4463
Phone: (229) 809-0810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 088000002 (GA)

Record details

NPI number1578253175
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 9, 2023
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023

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