Randle, Tiffany

Randle, Tiffany is an sole proprietor health care provider with primary practice located at 1104 Realm Ln , Lawrenceville GA 30044-2676. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Randle, Tiffany can be contacted via phone (404) 438-5152.

Contact Information

Primary practice address
1104 Realm Ln Lawrenceville GA 30044-2676
Phone: (404) 438-5152
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT011209 Georgia

Profile Details

NPI number 1144825522
LBN Legal business name Randle, Tiffany
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2020
Last updated Dec 2nd, 2020 - about 6 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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