Search › Alabama › 363A00000X
Tia Janicki, PA-C
NPI 1972636843 · on the registry since 2007
Practice
- Address
- 7550 Assunta Ct
Fairhope, AL 36532 - Phone
- (251) 928-4944
- Fax
- (251) 928-2086
- Organisation at this address
- Bay Shore Dermatology, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 1300 N Mckenzie St, Foley, AL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- FL, AL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-10
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 Alabama