Individual
MAYA TIFFANY JACQUELINE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4503 ASHFORD DUNWOODY RD NE, ATLANTA, GA 30346-1509
(470) 285-9588
(470) 285-9589
Mailing address
4503 ASHFORD DUNWOODY RD NE, ATLANTA, GA 30346-1509
(470) 285-9588
(470) 285-9589
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
290689
GA
Other
Enumeration date
10/27/2019
Last updated
01/06/2026
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