Individual
TIFFANY GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N TERMINAL HARTSFIELD-JACKON INTERNATIONAL AIRPORT, ATLANTA, GA 30337
(404) 773-7480
Mailing address
4715 LENOX HILL PL, CHARLOTTE, NC 28269-8178
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002734
GA
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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