Tiffany Edmonson, PA-C

NPI #1205698941 in Hazard, Kentucky

Provider Information

NPI Number: 1205698941
Entity Type: Individual
Name: Tiffany Edmonson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 29, 2024
Last Updated: Aug 28, 2024

Practice Location

Address: 100 MEDICAL CENTER DR
City: Hazard
State: Kentucky
ZIP Code: 41701-9421
Phone: (606) 706-2611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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