Individual
TIFFANY DENISE GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4595 JONESBORO RD, FOREST PARK, GA 30297-4317
(470) 755-6710
(470) 755-6710
Mailing address
2714 WATERFORD CLUB DR, LITHIA SPRINGS, GA 30122-4413
(470) 755-6710
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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