NPI 1295292985

Tiffany Denise Churchwell, CNA

Practitioner Nurse's Aide Augusta, GA

Practice location

Address: 601 Broad St STE 3148, Augusta, GA 30901-1467
Phone: (762) 383-8350

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 0000037316 (GA)

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Registry record

NPI: 1295292985
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Feb 2019
Record last updated: 17 Feb 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.