Delice, Tiffany M
Delice, Tiffany M is an sole proprietor health care provider with primary practice located at 111 N Patterson St , Valdosta GA 31601-5515. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Delice, Tiffany M can be contacted via phone (229) 219-1831.Contact Information
Primary practice address
111 N Patterson St
Valdosta GA 31601-5515
Phone: (229) 219-1831
Fax: (229) 219-1832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 054448 | Georgia |
Profile Details
| NPI number | 1619976891 |
|---|---|
| LBN Legal business name | Delice, Tiffany M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Nov 2nd, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619976891 | NPPES |
| Georgia | MEDICAID | 940567216F |
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