Ford, Tiffany Gibson

Ford, Tiffany Gibson is an individual health care provider with primary practice located at 3421 Mike Padgett Hwy , Augusta GA 30906-3815. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Ford, Tiffany Gibson can be contacted via phone (706) 432-4858.

Contact Information

Primary practice address
3421 Mike Padgett Hwy Augusta GA 30906-3815
Phone: (706) 432-4858
Fax: (706) 432-3780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN202486 Georgia

Profile Details

NPI number 1093042236
LBN Legal business name Ford, Tiffany Gibson
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2009
Last updated Nov 9th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093042236 NPPES
Georgia MEDICAID 000606317B

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