| Doctor Name: | MRS. TINA MARIE SAPP |
| NPI Number: | 1134151079 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | (ARRT )(RT)(MR) |
| License Number: | 195517 |
| Business Practice Address: | 1401 Tift Ave N Tifton, GA - 317943585 |
| Business Phone Number: | 2293876799 |
| Business Fax Number: | |
| Mailing Address: | 8310 Highway 215, VIENNA |
| State: | GA |
| Postal Code: | 31092 |
| Phone Number: | 2293222350 |
| Fax Number: | |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 09/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 247100000X |
| License Number: | 195517 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |