Doctor Name: | TIFFANY STANFILL THOMAS |
NPI Number: | 1972824712 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 4156 |
Business Practice Address: | 150 Henry Burson Ave 215 Carrollton, GA - 301174465 |
Business Phone Number: | 7702142121 |
Business Fax Number: | 7702142124 |
Mailing Address: | 119 Ambulance Dr, 202 CARROLLTON |
State: | GA |
Postal Code: | 301173857 |
Phone Number: | 7708388710 |
Fax Number: | 7708388563 |
NPI Enumeration Date: | 06/16/2010 |
NPI Last Update Date: | 03/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 4156 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |