Individual
TIFFANY L STANFILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
690 DALLAS HWY, SUITE 301, VILLA RICA, GA 30180-1264
(770) 812-3850
(770) 456-3826
Mailing address
706 DIXIE ST STE 220, CARROLLTON, GA 30117-3819
(770) 838-8710
(770) 812-5735
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
071171
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003138180B
—
GA
Enumeration date
06/16/2010
Last updated
03/10/2020
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