Provider Demographics
NPI:1427839695
Name:REEVES, TIFFANY (CPT, CPE)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:REEVES
Suffix:
Gender:F
Credentials:CPT, CPE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3957 HOLCOMB BRIDGE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-5244
Mailing Address - Country:US
Mailing Address - Phone:678-528-1161
Mailing Address - Fax:678-528-1542
Practice Address - Street 1:3957 HOLCOMB BRIDGE RD STE 201
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-5244
Practice Address - Country:US
Practice Address - Phone:678-528-1161
Practice Address - Fax:678-528-1542
Is Sole Proprietor?:No
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy