Tiffany Cherell Edwards, | |
1380 Woodstock Rd, Roswell, GA 30075-2141 | |
(770) 640-3131 | |
Not Available |
Full Name | Tiffany Cherell Edwards |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1380 Woodstock Rd, Roswell, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063144988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC010172 (Georgia) | Primary |
Entity Name | Minuteclinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20051024000186 |
Mailing Address | Practice Location Address |
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Tiffany Cherell Edwards, 1380 Woodstock Rd, Roswell, GA 30075-2141 Ph: () - | Tiffany Cherell Edwards, 1380 Woodstock Rd, Roswell, GA 30075-2141 Ph: (770) 640-3131 |
Mrs. Melissa Ragsdale Goodwin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 Bombay Ln, Roswell, GA 30076 Phone: 770-262-2080 Fax: 770-754-4676 | |
Mrs. Lori L Bryant, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 11285 Elkins Rd Ste D3, Roswell, GA 30076 Phone: 678-371-2849 | |
Barbara Blake Brown, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Sloan St, Roswell, GA 30075 Phone: 770-595-8999 Fax: 678-226-9683 | |
Mrs. Rachel A Fishman, M.A., LAPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Colonial Park Dr, Suite 102, Roswell, GA 30075 Phone: 678-534-3824 | |
Kaitlyn Sampson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 570 Colonial Park Dr Ste 315, Roswell, GA 30075 Phone: 404-492-8187 | |
Beverly Joi Matthews, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1014 Canton St, Roswell, GA 30075 Phone: 770-993-2676 Fax: 770-993-1118 | |
Amanda S Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 290 Saddle Lake Dr, Roswell, GA 30076 Phone: 770-561-4585 |