MAYA TIFFANY JACQUELINE KING

FAYETTEVILLE, GA
NPI1538702170
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA  290689)
Enumeration Date2019-10-27
Last Update Date2019-10-27
Business Address
MAYA TIFFANY JACQUELINE KING CPNP
105 S SHORE TER
FAYETTEVILLE, GA 30214-7399
Phone number: 770-349-9698
Mailing Address
MAYA TIFFANY JACQUELINE KING CPNP
105 S SHORE TER
FAYETTEVILLE, GA 30214-7399
Phone number: 770-349-9698