Individual
MRS. TIFFINY B COHEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10700 MEDLOCK BRIDGE RD, SUITE 102, DULUTH, GA 30097-8456
(770) 497-0699
(770) 497-0388
Mailing address
10700 MEDLOCK BRIDGE RD, SUITE 102, DULUTH, GA 30097-8456
(770) 497-0699
(770) 497-0388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004491
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004491
PHYSICIAN ASSISTANT
GA
Enumeration date
10/05/2005
Last updated
07/08/2007
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