Tiffany Mitchell

NPI #1679194658 in Ellenwood, Georgia

Provider Information

NPI Number: 1679194658
Entity Type: Individual
Name: Tiffany Mitchell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: In Home Supportive Care
Enumeration Date: May 1, 2020
Last Updated: May 1, 2020

Practice Location

Address: 3665 GLEN MOOR RD
City: Ellenwood
State: Georgia
ZIP Code: 30294-3780
Phone: (904) 415-6370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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