Search › Georgia › 363LA2100X
Tiffany Boulanger, AGACNP
NPI 1700308509 · on the registry since 2017
Practice
- Address
- 400 Tower Rd Ne Ste 200
Marietta, GA 30060 - Phone
- (770) 422-1372
- Organisation at this address
- Diagnostic Radiology Services
Pain Solutions Treatment Centers
Benchmark Healthcare Services Llc
Alliance Surgery Center At Marietta, Llc
Independent Physical Therapy Of Georgia, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 74
Additional practice sites
- 12345 Mercy Blvd, Savannah, GA
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-03-28
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