Individual
MS. TIFFIANY MCCUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.S.A.
Contact information
Practice address
4979 LOWER ELM ST, ATLANTA, GA 30349-1677
(404) 254-5906
Mailing address
4979 LOWER ELM ST, ATLANTA, GA 30349-1677
(404) 254-5906
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3404
GA
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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