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Tiffany Park

NPI 1275017949 · on the registry since 2018 · sole proprietor

Practice

Address
2345 Peachtree Rd Ne
Atlanta, GA 30305
Phone
(404) 233-2101
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-09-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia