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Individual

TIFFANY MCCLAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2402 BOWDOIN DR, AUGUSTA, GA 30909-4521
(706) 664-9708
Mailing address
2402 BOWDOIN DR, AUGUSTA, GA 30909-4521
(706) 664-9708

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN227072
GA
291U00000X
Clinical Medical Laboratory
11D2238251
GA

Other

Enumeration date
06/23/2019
Last updated
03/02/2022
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