Individual
TIFFANY TINESE EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PP
Contact information
Practice address
201 6TH AVE NE, CAIRO, GA 39828-2131
(229) 421-4333
Mailing address
201 6TH AVE NE, CAIRO, GA 39828-2131
(229) 421-4333
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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