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NPI Code Detail

MEDICARE: MISS TIFFANY DRILLING

MEDICARE: MISS TIFFANY DRILLING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT010337GA

General Provider Information

NPI Number : 1174065833
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS TIFFANY DRILLING
Provider Business Mailing Address
First Line : 3755 PEACHTREE RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30319-1323
Country : US
Telephone Number : 404-800-7282
Fax Number :
Provider Business Practice Location Address
First Line : 3755 PEACHTREE RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30319-1323
Country : US
Telephone Number : 404-800-7282
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2016
Last Update Date : 11/12/2016

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Directions to “ MISS TIFFANY DRILLING ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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