Individual
TIFFANY A. REAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1010 PRINCE AVE STE 300, ATHENS, GA 30606-5814
(706) 425-1470
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-7130
(239) 343-7185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12831
GA
363AM0700X
Medical Physician Assistant
PA9111472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102276900
—
FL
01
—
1164999033
NPI
—
Enumeration date
10/30/2018
Last updated
04/28/2025
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