Individual
TIFFANY MASTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
2274 SALEM RD SE STE 1061273, CONYERS, GA 30013-2097
(844) 286-8232
Mailing address
110 ASHTONBROOK DR, MCDONOUGH, GA 30252-6705
(404) 922-1985
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN289185
GA
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN289185
GA
163WH0200X
Home Health Registered Nurse
RN289185
GA
163WI0500X
Infusion Therapy Registered Nurse
RN289185
GA
163WS0200X
School Registered Nurse
RN289185
GA
Other
Enumeration date
03/09/2021
Last updated
11/18/2021
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