Healthcare Provider Details

I. General information

NPI: 1235048331
Provider Name (Legal Business Name): TIFFANY TURNER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 NORTHSIDE FORSYTH DR STE 240
CUMMING GA
30041-6017
US

IV. Provider business mailing address

7110 PEA RIDGE RD
GAINESVILLE GA
30506-6123
US

V. Phone/Fax

Practice location:
  • Phone: 770-844-0877
  • Fax: 770-844-0891
Mailing address:
  • Phone: 770-844-0877
  • Fax: 770-844-0891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberRN204537
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: