Individual
TIFFANY RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
605 GLENWOOD DR STE 200, CHATTANOOGA, TN 37404-1130
(423) 698-1844
Mailing address
2004 HAYES ST STE 800, NASHVILLE, TN 37203-2659
(615) 329-0570
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
08/01/2019
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