Individual
TIFFANY COX ROMANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
112 WILSHIRE VILLAGE DR, PEACHTREE CITY, GA 30269-3138
(770) 676-3376
Mailing address
112 WILSHIRE VILLAGE DR, PEACHTREE CITY, GA 30269-3138
(770) 676-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
9618
GA
363A00000X
Physician Assistant
0010-05063
NC
363A00000X
Physician Assistant
9618
GA
363AS0400X
Surgical Physician Assistant
PA10338
TX
Other
Enumeration date
06/16/2014
Last updated
04/08/2026
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