Individual
MRS. TIFFANY BLAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4181 HOSPITAL DR NE STE 204, COVINGTON, GA 30014-2541
(770) 788-6534
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9842
GA
Other
Enumeration date
04/24/2019
Last updated
03/29/2021
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