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Contact Information

TIFFANY A GIBBERT, PA-C
303 PARKWAY DR NE
BOX 442
ATLANTA, GA30312-1212
 Phone: 678-642-5615
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TIFFANY A GIBBERT · (Female)

NPI # 1407081581
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/19/2009
Last updated 07/02/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 5577
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL CHEROKEE - (Acute Care)
    201 HOSPITAL ROAD
    CANTON, GA 30114
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
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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