Individual
MS. TIFFANI R HASSELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD NE, SUITE 880, ATLANTA, GA 30342-1699
(404) 256-2525
(404) 845-4121
Mailing address
5670 PEACHTREE DUNWOODY RD NE, SUITE 880, ATLANTA, GA 30342-1699
(404) 256-2525
(404) 845-4121
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1392
GA
Other
Enumeration date
06/19/2006
Last updated
07/08/2007
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