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Contact Information

TIFFANY L AVERA
80 JESSE HILL JR DR SE
ATLANTA, GA30303-3031
 Phone: 404-616-6172
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for TIFFANY L AVERA · (Female)

NPI # 1447592985
Status Active
Credentials
Entity Individual
Enumeration date 03/22/2013
Last updated 03/22/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # LD003667
  • GA Medicaid 949089
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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