Individual
TIFFANY LEE BOULANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
400 TOWER RD NE STE 200, MARIETTA, GA 30060-9412
(770) 422-1372
Mailing address
7400 ABERCORN STREET, STE 704 BOX 104, SAVANNAH, GA 31406-2454
(912) 232-9700
(912) 748-0270
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
236517
GA
Other
Enumeration date
07/13/2017
Last updated
03/28/2025
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