Individual
TIFFANY A TOWNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2843 RIDGEVIEW DR, AUGUSTA, GA 30909-9641
(706) 432-7893
(706) 432-3780
Mailing address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-7893
(706) 432-3780
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000927693AR
—
GA
Enumeration date
09/16/2011
Last updated
07/02/2013
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