NPI 1023772308

Tiffany Heard

Practitioner Contractor Stone Mountain, GA

Practice location

Address: 4327 Crestridge Ln, Stone Mountain, GA 30083-6103
Phone: (678) 794-7498

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1023772308
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Oct 2021
Record last updated: 24 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.