| Tiffany Cherell Edwards, | |
|
1380 Woodstock Rd, Roswell, GA 30075-2141 | |
| (770) 640-3131 | |
| Not Available |
| Full Name | Tiffany Cherell Edwards |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1380 Woodstock Rd, Roswell, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063144988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC010172 (Georgia) | Primary |
| Entity Name | Minuteclinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20051024000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Cherell Edwards, 1380 Woodstock Rd, Roswell, GA 30075-2141 Ph: () - | Tiffany Cherell Edwards, 1380 Woodstock Rd, Roswell, GA 30075-2141 Ph: (770) 640-3131 |
Sydney Buffington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Sun Valley Dr Ste D2, Roswell, GA 30076 Phone: 770-910-9162 Fax: 770-910-9768 | |
Mrs. Melissa Ragsdale Goodwin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Bombay Ln, Roswell, GA 30076 Phone: 770-262-2080 Fax: 770-754-4676 | |
Barbara Blake Brown, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Sloan St, Roswell, GA 30075 Phone: 770-595-8999 Fax: 678-226-9683 | |
Mr. Christian Lamar King, LPC Counselor Medicare: Medicare Enrolled Practice Location: 11111 Houze Rd Ste 225, Roswell, GA 30076 Phone: 770-603-0123 | |
Ms. Shannon Burge Wallon, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1905 Woodstock Rd Ste 3250, Roswell, GA 30075 Phone: -- | |
Kaitlyn Sampson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 570 Colonial Park Dr Ste 315, Roswell, GA 30075 Phone: 404-492-8187 | |
Beverly Joi Matthews, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1014 Canton St, Roswell, GA 30075 Phone: 770-993-2676 Fax: 770-993-1118 |