Organization · Type 2 NPI
Tiny Clinic, PC
Nurse Practitioner · Tallapoosa, GA
Practice location
112 Head Ave
Tallapoosa, GA 30176-1219
Fax (470) 329-0422
Mailing address
618 Thornton Rd Ste 3-297
Lithia Springs, GA 30122-1518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Another provider at this address
About NPI 1003498197
Tiny Clinic, PC's National Provider Identifier is 1003498197, issued on Apr 27, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tallapoosa, GA. The record was last updated on Oct 30, 2025.