Individual
TIFFANY CECILE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 HARVEST RDG, ACWORTH, GA 30102-2192
(404) 664-4755
Mailing address
124 HARVEST RDG, ACWORTH, GA 30102-2192
(404) 664-4755
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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