Individual
MRS. TIFFANY SIMMS HAIRSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1451 VALLEY TRAIL WAY, LAWRENCEVILLE, GA 30043-3658
(404) 358-0717
(678) 736-8096
Mailing address
1451 VALLEY TRAIL WAY, LAWRENCEVILLE, GA 30043-3658
(404) 358-0717
(678) 736-8096
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN22820
GA
163WC1500X
Community Health Registered Nurse
Primary
RN228251
GA
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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