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Individual

DR. TIFFANY ROE HANKLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
1705 BOULEVARD SQ STE B, WAYCROSS, GA 31501
(912) 284-9200
Mailing address
1705 BOULEVARD SQ STE B, WAYCROSS, GA 31501-8032
(912) 284-9200

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD004130
GA
237600000X
Audiologist-Hearing Aid Fitter
AUD004130
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003205836A
GA
Enumeration date
05/25/2018
Last updated
08/14/2018
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