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

Mr. Anthony Jacob Tabor, MEDCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1659132652

Mr. Anthony Jacob Tabor, MEDCCC-SLP is a Speech-Language Pathologist in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

222 12th St NE Unit 1001
Atlanta, GA 30309-4071
Phone: (501) 626-6974
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP007460 (GA)

Record details

NPI number1659132652
Entity typeIndividual (Type 1)
GenderMale
Credentials MEDCCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 17, 2024
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024

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