Individual
TIFFANY C GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
20 PINE CANYON DR SW UNIT 1, ATLANTA, GA 30331-2864
(404) 857-6058
Mailing address
160 SOUTHFIELD DR, NEWNAN, GA 30265-1913
(404) 857-6058
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013422
GA
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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