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TIFFANY CASPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
20 GLENLAKE PKWY, ATLANTA, GA 30328
(404) 365-0966
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(404) 364-7285

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN102343
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN 102343
GEORGIA BOARD OF NURSING
GA
Enumeration date
05/09/2016
Last updated
03/08/2022
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