Individual
MRS. TIFFANY SUZANNE LONGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 OLD DALTON ELLIJAY RD, CHATSWORTH, GA 30705-2019
(706) 370-4700
Mailing address
5226 HIGHWAY 76, CHATSWORTH, GA 30705-6363
(706) 980-5980
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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