| Tiffany Webb, | |
|
1301 Shiloh Rd Nw Ste 840 Kennesaw GA 30144-7156 | |
| (770) 316-1461 | |
| Not Available |
| Full Name | Tiffany Webb, |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1301 Shiloh Rd Nw Ste 840, Kennesaw, Georgia |
| Authorized Official Name and Position | Tiffany Webb (OWNER) |
| Authorized Official Contact | 7703161461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Webb, 311 Oscar Way Dallas GA 30132-0386 Ph: (770) 316-1461 | Tiffany Webb, 1301 Shiloh Rd Nw Ste 840 Kennesaw GA 30144-7156 Ph: (770) 316-1461 |
| NPI Number | 1619369287 |
|---|---|
| Provider Enumeration Date | 02/19/2015 |
| Last Update Date | 02/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619369287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC006679 (Georgia) | Primary |
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