Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | RN236819 | GA |
NPI | 1023783099 |
---|---|
Provider Name | Tiffany Morgan |
First Address | Atlanta, GA 30327-1611 |
Second Address | Atlanta, GA 30327-1610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2021 |
Last Update Date | 19/11/2021 |