Individual
TIFFANY NADINE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
228 MORROW RD 18H, FOREST PARK, GA 30297
(706) 980-4057
Mailing address
228 MORROW RD 18H, FOREST PARK, GA 30297
(706) 980-4057
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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