Individual
DR. TIFFANY M DELICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 N PATTERSON ST, VALDOSTA, GA 31601-5515
(229) 219-1831
(229) 219-1832
Mailing address
111 N PATTERSON ST, VALDOSTA, GA 31601-5515
(229) 219-1831
(229) 219-1832
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
054448
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
940567216F
—
GA
Enumeration date
07/19/2005
Last updated
11/02/2017
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