Taylor, Tiffany

Taylor, Tiffany is an individual health care provider with primary practice located at 8954 Hospital Dr , Douglasville GA 30134-2272. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Taylor, Tiffany can be contacted via phone (770) 949-1500.

Contact Information

Primary practice address
8954 Hospital Dr Douglasville GA 30134-2272
Phone: (770) 949-1500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1932426640
LBN Legal business name Taylor, Tiffany
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2010
Last updated Oct 10th, 2019 - about 5 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 1932426640 NPPES
Alabama MEDICAID 168719
Alabama MEDICAID 003140192B

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