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Individual

TIFFENY DEGELIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SR. CPHT

Contact information

Practice address
3888 VINEVILLE AVE, MACON, GA 31204-1865
(478) 471-6744
(478) 471-9936
Mailing address
3888 VINEVILLE AVE, MACON, GA 31204-1865
(478) 471-6744
(478) 471-9936

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
116300
TX
183700000X
Pharmacy Technician
Primary
PHTC026162
GA

Other

Enumeration date
12/23/2020
Last updated
12/23/2020
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