Tiffany Gae Edwards

NPI #1790479806 in Matteson, Illinois

Provider Information

NPI Number: 1790479806
Entity Type: Individual
Name: Tiffany Gae Edwards
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Jun 5, 2023
Last Updated: Jun 5, 2023

Practice Location

Address: 6308 ALLEMONG DR
City: Matteson
State: Illinois
ZIP Code: 60443-1097
Phone: (773) 937-3510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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