Individual
MRS. TIFFANIE DANYELLE STAMEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 GORDON COMMERCIAL DR STE C, LAGRANGE, GA 30240-5754
(706) 845-4045
(706) 845-4367
Mailing address
453 CHERRY RD, FRANKLIN, GA 30217-3986
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN084088
GA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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