IndividualActive
Tiffiny Grooms
NPI 1376359554 · Community/Behavioral Health Agency · Rex, GA
Provider details
- NPI number
- 1376359554
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
6863 Red Maple Dr
Rex, GA 30273-2344
Phone: (770) 549-9323
Approximate (ZIP-level) locationGet directions
Mailing address
6863 Red Maple Dr
Rex, GA 30273-2344
Registry dates
- Enumerated
- 2024-12-03
- Last updated
- 2024-12-03
- Certified
- 2024-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.