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Individual

TIFFANY LE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3320 OLD JEFFERSON RD BLDG 800, ATHENS, GA 30607-1400
(706) 353-2990
(706) 353-2992
Mailing address
3431 REAGAN WAY, LAWRENCEVILLE, GA 30044-3496
(334) 830-7122

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN301700
GA
363L00000X
Nurse Practitioner
Primary
RN301700
GA

Other

Enumeration date
03/30/2023
Last updated
11/07/2024
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