Individual
TIFFANY EGBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
788 W MARIETTA ST NW UNIT 1016, ATLANTA, GA 30318-6273
(480) 316-9930
Mailing address
788 W MARIETTA ST NW UNIT 1016, ATLANTA, GA 30318-6273
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
GA
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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