Individual
MICHELE SHEPHERD TIGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6138 AMBERLY RD, REX, GA 30273-1230
(678) 665-8221
Mailing address
6138 AMBERLY RD, REX, GA 30273-1230
(678) 665-8221
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN077267
GA
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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