Individual
MRS. TIA L JANICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7550 ASSUNTA CT, FAIRHOPE, AL 36532-3069
(251) 928-4944
(251) 928-2086
Mailing address
7550 ASSUNTA CT, FAIRHOPE, AL 36532-3069
(251) 928-4944
(251) 928-2086
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.1780
AL
363A00000X
Physician Assistant
PA9118346
FL
Other
Enumeration date
03/13/2007
Last updated
04/10/2026
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