Individual provider · Type 1 NPI

Tiffani R. Hasselbaum, PA

Medical Physician Assistant · Atlanta, GA

NPI number 1356386643 Active

Practice location

5670 Peachtree Dunwoody Rd NE, Suite 880
Atlanta, GA 30342-1699

Fax (404) 845-4121

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1392 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1356386643

Tiffani R. Hasselbaum, PA's National Provider Identifier is 1356386643, issued on Jun 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.