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1275036964
TIFFANY SHAW
ATLANTA, GA
NPI
1275036964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN157130)
Enumeration Date
2018-03-09
Last Update Date
2018-03-09
Business Address
TIFFANY SHAW
3338 DOGWOOD DR
ATLANTA, GA 30354-1440
Phone number: 678-428-3191
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Mailing Address
TIFFANY SHAW
4291 N BRAVES CIR
DOUGLASVILLE, GA 30135-4304
Phone number:
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