Individual
TIFFANI MAHEIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
980 JOHNSON FY RD NE STE 170, ATLANTA, GA 30342-1607
(404) 300-2140
Mailing address
4347 FAWN LN SE, SMYRNA, GA 30082-3952
(708) 846-9957
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10419
GA
363A00000X
Physician Assistant
—
GA
Other
Enumeration date
09/17/2021
Last updated
06/19/2024
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