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Individual

TISHA MARIE TITUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MPH

Contact information

Practice address
1044 BOULEVARD DR NE, ATLANTA, GA 30317-1502
(678) 949-9360
Mailing address
1044 BOULEVARD DR NE, ATLANTA, GA 30317-1502
(678) 949-9360

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
46300
MN
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
60480
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26 000 2270
MPIN
MN
Enumeration date
12/19/2007
Last updated
06/01/2020
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