Individual
TIFFANY THRASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 LORA SMITH RD, NEWNAN, GA 30265-6300
(770) 254-1093
Mailing address
1210 LORA SMITH RD, NEWNAN, GA 30265-6300
(770) 254-1093
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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