Individual
MS. TIFFANI BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
1572 GREENBROOK DR, AUSTELL, GA 30168-5117
(912) 306-7275
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN231321
GA
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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