Individual provider · NPI-1
Dr. Tinisha Tiffany Ransome, MD
Family Medicine · Mableton, GA
NPI number1871837518
StatusActive
Last updated in NPPESApr 8, 2020
Details
- NPI
- 1871837518
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tinisha Tiffany Ransome
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2012
- Certification date
- Apr 8, 2020
- Last updated
- Apr 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 67967 | GA | Yes |
Practice location
5015 Floyd Rd Sw Ste 710Mableton, GA 30126-1674
Phone 678-695-6989
Mailing address
5015 Floyd Rd Sw Ste 710Mableton, GA 30126-1674
Phone 678-695-6989
Other practice locations
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.