Parks, Tiffany Nicole
Parks, Tiffany Nicole is an individual health care provider with primary practice located at 3001 Gordon Hwy , Grovetown GA 30813-3808. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Parks, Tiffany Nicole can be contacted via phone (706) 855-4700.Contact Information
Primary practice address
3001 Gordon Hwy
Grovetown GA 30813-3808
Phone: (706) 855-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 68594 | Georgia |
Profile Details
| NPI number | 1336383751 |
|---|---|
| LBN Legal business name | Parks, Tiffany Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2009 |
| Last updated | Oct 24th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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