Nance, Tiffany
Nance, Tiffany is an sole proprietor health care provider with primary practice located at 2336 Wisteria Dr Ste 440 , Snellville GA 30078-6160. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Nance, Tiffany can be contacted via phone (770) 743-1469.Contact Information
Primary practice address
2336 Wisteria Dr Ste 440
Snellville GA 30078-6160
Phone: (770) 743-1469
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1811505514 |
|---|---|
| LBN Legal business name | Nance, Tiffany |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2020 |
| Last updated | Jul 19th, 2020 - about 4 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 | 1811505514 | NPPES |
| Georgia | Other | 101Y00000X | BLUE CROSS |
| Georgia | Other | 101Y00000X | BLUE CROSS |
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