Individual
DR. TIFFANY A BUJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-9358
(706) 787-1403
Mailing address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-9358
(706) 787-1403
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004515A
IN
208D00000X
General Practice Physician
02004515A
KS
Other
Enumeration date
09/06/2013
Last updated
03/15/2022
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