Individual
TIFFANY FERN GARTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1625 HOSPITAL SOUTH DR STE 150, AUSTELL, GA 30106-8111
(470) 732-6950
Mailing address
1625 AUSTELL ROAD, AUSTELL, GA 30106
(470) 732-6950
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
76036
GA
2084P0800X
Psychiatry Physician
Primary
76036
GA
Other
Enumeration date
04/05/2011
Last updated
10/11/2023
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