Individual
TIFFANY GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1511 ANTHONY RD, AUGUSTA, GA 30904-4821
(706) 592-8424
Mailing address
1574 BALDWIN LAKES DR, GROVETOWN, GA 30813-5887
(336) 840-5022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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