Individual
TIFFANY MCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
535 COBBTOWN RD, THOMASTON, GA 30286-2345
(912) 596-0761
Mailing address
535 COBBTOWN RD, THOMASTON, GA 30286-2345
(912) 596-0761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
214983
GA
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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