Individual
MRS. TIFFANY ROSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
245 PEACHTREE INDUSTRIAL BLVD STE 103, SUGAR HILL, GA 30518-9126
(770) 778-4506
Mailing address
635 EMERALD PKWY, SUGAR HILL, GA 30518-5668
(770) 778-4506
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002788
GA
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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