Taylor, Tiffany
Taylor, Tiffany is an individual health care provider with primary practice located at 8954 Hospital Dr , Douglasville GA 30134-2272. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Taylor, Tiffany can be contacted via phone (770) 949-1500.Contact Information
Primary practice address
8954 Hospital Dr
Douglasville GA 30134-2272
Phone: (770) 949-1500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1932426640 |
|---|---|
| LBN Legal business name | Taylor, Tiffany |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2010 |
| Last updated | Oct 10th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932426640 | NPPES |
| Alabama | MEDICAID | 168719 | |
| Alabama | MEDICAID | 003140192B |
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