Individual
TIFFANY MUHAMMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 WESTRIDGE PKWY STE 225, MCDONOUGH, GA 30253-3052
(770) 258-6765
(678) 348-7103
Mailing address
155 WESTRIDGE PKWY STE 225C7, MCDONOUGH, GA 30253-3049
(770) 258-6765
(678) 348-7103
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
GA
3747P1801X
Personal Care Attendant
—
GA
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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