Tiffany M Delice (NPI# 1619976891, PAC ID# 9234106048) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1619976891 |
| PAC ID by PECOS | 9234106048 |
| Professional Enrollment ID | I20040913000224 |
| Full Name | Tiffany M Delice |
| Address |
2409 N Patterson St Suite 200 Valdosta GA 31602-2512 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialties | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110122 | SOUTH GEORGIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2217 Pineview Dr, Valdosta, GA 31602-7316 | 2296716700 | SGMP SOUTHLAND LLC |
| 2409 N Patterson St, Suite 200, Valdosta, GA 31602-2512 |
| Street Address |
2409 N PATTERSON ST SUITE 200 |
| City | VALDOSTA |
| State | GA |
| Zip | 31602-2512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maurice M Solis | Vascular Surgery | Hospital Authority of Valdosta and Lowndes County Georgia | 2409 N Patterson St, Suite 230, Valdosta, GA 31602-2512 |
| Victoria Cate | Nurse Practitioner | Hospital Authority of Valdosta and Lowndes County Georgia | 2409 N Patterson St, Suite 200, Valdosta, GA 31602-2512 |
| Andrew S Wilson | Emergency Medicine | Hospital Authority of Valdosta and Lowndes County Georgia | 2409 N Patterson St, Suite 310, Valdosta, GA 31602-2512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Haskin | Nurse Practitioner | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Sheri L Swader | Neurology | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Judit T Sule | Internal Medicine | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Revajo S Broadwater | Physical Therapy | 3537 N Crossing Circle, Valdosta, GA 31602-1019 | |
| Barbara F Frier | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Mary Fulp-pye | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Jennifer Kenyon | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Joel Leland Morgan | Psychiatry | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Janice L Breidenstein | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Eric Christian Stiefel | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3527 N Valdosta Rd, Valdosta, GA 31602-1055 |
| Find all physicians in zip 31602 | |||
| City | VALDOSTA |
| Zip Code | 31602 |
| Specialty | PSYCHIATRY |
| City + Specialty | VALDOSTA + PSYCHIATRY |
Please comment or provide details below to improve the information on Tiffany M Delice.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.