Individual
TIFFANIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4829 DRY LAKE RD, DIXIE, GA 31629-3205
(229) 415-8310
Mailing address
842 SON WRIGHT RD, DIXIE, GA 31629-2717
(229) 415-8310
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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